| NPI | 1710408448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASONJA MALONE CEO/Owner 877-768-4897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X Clinic/Center | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2025-01-19 |