| NPI | 1609157254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY STOCKDALE President Of Board Of Directors 256-405-4022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251T00000X PACE Provider Organization (Licence: AL 3943) |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2022-07-21 |