| NPI | 1659830784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MARTINEZ WHITE Agency Manager 708-704-2851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |