| NPI | 1801658646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA L MITCHELL CEO 980-505-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385HR2055X Respite Care Respite Care, Mental Illness, Child |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-01-26 |