| NPI | 1720828593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANITA JONES CEO 234-804-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 174200000X Meals |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QH0100X Clinic/Center Health Service | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 332U00000X Home Delivered Meals | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |