| NPI | 1760844559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE ELIZABETH WIEBER Executive Director 731-635-4290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: TN L000000014226) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: TN L000000014226) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |