| NPI | 1801749049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE J WALLACE CEO 856-305-9827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 347C00000X Private Vehicle | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 174200000X Meals | |
| Enumeration Date | 2026-02-17 |
| Last Update Date | 2026-02-17 |