| NPI | 1447935242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK POLLEY Director 856-524-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-06-19 |