| NPI | 1578091732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZI L HIATT Executive Director 276-221-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X |
| 385H00000X Respite Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2022-04-06 |