| NPI | 1679221253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA O HARRIS Administrator 870-635-7491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-10-07 |