| NPI | 1700601721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHEED KEES Owner 424-321-8834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 174200000X Meals |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-11-15 |