| NPI | 1366323917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANA GRIMES CEO 234-410-4476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 174200000X Meals |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 343800000X Secured Medical Transport (VAN) | |
| 251S00000X Community/Behavioral Health | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| 252Y00000X Early Intervention Provider Agency | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-25 |