| NPI | 1730766783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN MARTIN Co Owner 704-405-6668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 171W00000X Contractor |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-04-05 |