| NPI | 1689590135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI OLIVIA FINGER Owner 336-430-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 385H00000X Respite Care | |
| Enumeration Date | 2026-06-29 |
| Last Update Date | 2026-06-29 |