| NPI | 1568038446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY DABNEY Owner 414-252-8442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2023-08-09 |