| NPI | 1417780826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASANDRA LEE Co Owner 678-964-0275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 372600000X Adult Companion | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |