| NPI | 1477144103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DAVIS President 870-569-1052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 171M00000X Case Manager/Care Coordinator | |
| 251300000X Local Education Agency (LEA) | |
| 251C00000X | |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-01-26 |