| NPI | 1699553461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI DANIAL ABUJABER General Manager 731-935-9569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2024-09-25 |