| NPI | 1609658160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE CANNELLA Partner 815-821-2458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-19 |