| NPI | 1346612512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PANOME THEPMANIVONG CFO/Owner 678-557-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |