NPI | 1720542228 |
---|---|
Entity Type | Organization |
Authorized Contact | RUBYSTEIN THOMAS Own 662-807-5006 |
Organization Subpart ? | No |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
251E00000X Home Health | |
253Z00000X In Home Supportive Care | |
261QA0600X Clinic/Center, Adult Day Care | |
385H00000X Respite Care | |
Enumeration Date | 2019-01-29 |
Last Update Date | 2021-03-03 |