| NPI | 1639924509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONITA NKANG Owner 667-324-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-23 |