| NPI | 1558161430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAPORCHA KING Owner 402-708-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-18 |