| NPI | 1548497563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY D SMITH President 319-470-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 347C00000X Private Vehicle | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |