| NPI | 1376915371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA OBENG Program Director 508-304-6985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2025-01-09 |