| NPI | 1487262259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCYOTRIA WILLIAMS-WILSON Manager 661-501-0165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |