| NPI | 1770045890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNTA JOSEPH Administrator 386-320-3449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| 372600000X Adult Companion | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-04-06 |
| Last Update Date | 2019-04-06 |