| NPI | 1598513475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE FOSTER Owner 901-498-0844 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-08-12 |