| NPI | 1740998145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MCKENZIE THOMAS Owner 330-904-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |