| NPI | 1770233108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY HAYMER Manager 224-830-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-03-28 |