| NPI | 1619558061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEWUDWORK KETEMA AYALEKE Nurse 615-500-1578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2022-05-19 |