| NPI | 1649023235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LYNN BARNES Chief Executive Officer 269-762-2092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |