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 |