| NPI | 1528490521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAVEE WILLIAMS Owner 980-345-7974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |