| NPI | 1326283979 |
|---|---|
| Former Name | NNENNA NKEM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 302R00000X Health Maintenance Organization | |
| 305S00000X Point of Service | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2008-12-11 |