| NPI | 1649024795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMA LASHAWN JOHNSON Owner/Admistrator 330-309-3509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 251C00000X |
| 251X00000X Supports Brokerage | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 332U00000X Home Delivered Meals | |
| 342000000X Transportation Network Company | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |