| NPI | 1609749514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN TALLEY Administrative Compliance Officer 380-239-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2025-09-26 |
| Last Update Date | 2025-09-26 |