| NPI | 1578025102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANNE MASON CEO 424-288-6997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 174200000X |
| 251B00000X Case Management | |
| 251K00000X Public Health or Welfare | |
| 251S00000X | |
| 251V00000X Voluntary or Charitable | |
| 305S00000X Point of Service | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 332U00000X Home Delivered Meals | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |