NPI | 1659747368 |
---|---|
Doing Business As | TERRY L. FILLYAW |
Entity Type | Organization |
Authorized Contact | TERRY L. FILLYAW Owner 608-647-7391 |
Organization Subpart ? | Yes |
Primary Taxonomy | 253J00000X Foster Care Agency |
Enumeration Date | 2015-08-17 |
Last Update Date | 2015-08-17 |