| NPI | 1396505004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAANATHSHILOH S MAYS Owner 262-752-8334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |