| NPI | 1386174787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY WILLIAMS Program Director 857-333-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 174200000X |
| 251300000X Local Education Agency (LEA) | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251K00000X Public Health or Welfare | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 332U00000X Home Delivered Meals | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2022-07-21 |