| NPI | 1801665476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REUBEN MILENZO AZOZA Owner 319-440-4641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251S00000X Community/Behavioral Health | |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 251E00000X Home Health | |
| Enumeration Date | 2023-12-25 |
| Last Update Date | 2024-01-07 |