| NPI | 1821563313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINI PRINCE President 469-432-7634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2023-03-22 |