| NPI | 1609659432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIQADIR A MOHAMED Manager/Owner 608-556-5281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |