| NPI | 1518793967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA MILLS COO 252-258-7412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 305S00000X Point of Service | |
| 310400000X Assisted Living Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |