NPI | 1699520858 |
---|---|
Doing Business As | HOMETOWN INCLUSIVE LIVING |
Entity Type | Organization |
Authorized Contact | JEREMY NASER C0 Owner 712-318-2324 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2024-04-22 |
Last Update Date | 2024-05-03 |