| NPI | 1790954691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BIGGS Director Of Finance 628-260-1572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 3747P1801X Technician, Personal Care Attendant | |
| 171W00000X Contractor | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 332U00000X Home Delivered Meals | |
| 385H00000X Respite Care | |
| 251X00000X Supports Brokerage | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2025-10-28 |