| NPI | 1316693195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE SULLIVAN CEO 800-217-8015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-03-07 |