| NPI | 1396505004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAANATHSHILOH S MAYS Owner 262-752-8334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 251E00000X Home Health |
| 385H00000X Respite Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2026-05-05 |