| NPI | 1396606844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUADEERAH CAMPBELL Director 862-223-8957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 310400000X Assisted Living Facility | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-11-22 |
| Last Update Date | 2026-02-10 |