| NPI | 1659069110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA ANN ZIMMERMAN Owner 610-609-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2050X Respite Care, Respite Care Camp | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-24 |