| NPI | 1407560188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHARA WALLER CEO 659-253-7144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251E00000X Home Health |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-26 |