NPI | 1770017303 |
---|---|
Former Name | DEBBIE KAY STEPHENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: ID 385HR2060X) |
Additional Taxonomies | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: ID 385HR2065X) |
Enumeration Date | 2017-04-20 |
Last Update Date | 2017-04-20 |