| NPI | 1417416835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANISE DANIELLE LEWIS Onwer 908-244-1874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2020-03-11 |