| NPI | 1447926183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROJEAN S MCDOWELL Owner 862-239-3805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2021-08-23 |