| NPI | 1336772250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE COOPER Owner 330-440-6429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |