| NPI | 1710031422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM MILLER Manager 660-783-2093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 251C00000X |
| 385H00000X Respite Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |