NPI | 1598221475 |
---|---|
Entity Type | Organization |
Authorized Contact | JAYELA L HAYED CEO 501-655-5435 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 174200000X Meals |
177F00000X Lodging | |
251B00000X Case Management | |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
343900000X Non-emergency Medical Transport (VAN) | |
385HR2050X Respite Care, Respite Care Camp | |
Enumeration Date | 2019-02-15 |
Last Update Date | 2019-02-15 |