| NPI | 1649042805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY ADAM NELSON Owner 681-264-1537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 314000000X Skilled Nursing Facility | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |