| NPI | 1356178446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALETHIA DYERS Owner 762-260-8645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 174200000X Meals |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251G00000X Hospice Care, Community Based | |
| 251S00000X | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-09-13 |