| NPI | 1669247045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARETHA L BEAVERS Owner/Caregiver 572-218-0273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 305S00000X Point of Service | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | |
| 372600000X Adult Companion | |
| 3747A0650X Technician, Attendant Care Provider | |
| 374T00000X Religious Nonmedical Nursing Personnel | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2024-08-01 |