| NPI | 1336959477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTRALA EUTICA NANTON Owner 863-409-7332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician Attendant Care Provider |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 342000000X | |
| 372600000X Adult Companion | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-01-10 |