| NPI | 1548096431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY BAILEY Owner 662-687-1536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |