| NPI | 1316864267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UMIDA DAVUTAKHUNOVA Owner 678-622-1206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251X00000X Supports Brokerage | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2026-07-01 |
| Last Update Date | 2026-07-01 |