| NPI | 1609207844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA ELLERBE Owner 704-200-9924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2016-08-24 |