| NPI | 1689441628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHAD KNOTTS Owner 980-505-5119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251K00000X Public Health or Welfare | |
| 253J00000X Foster Care Agency | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |