| NPI | 1770464240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICKEYIO HUSKEY Owner 704-300-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251K00000X Public Health or Welfare | |
| 310400000X Assisted Living Facility | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 385HR2050X Respite Care, Respite Care Camp | |
| 252Y00000X Early Intervention Provider Agency | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-21 |