NPI | 1639991268 |
---|---|
Entity Type | Organization |
Authorized Contact | ALTON BETHEA Director 984-354-1778 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Additional Taxonomies | 251E00000X Home Health |
385H00000X Respite Care | |
385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
Enumeration Date | 2024-10-25 |
Last Update Date | 2024-10-25 |