| NPI | 1821634767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATODDSHA DOWNEY CEO 618-346-9230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 253Z00000X In Home Supportive Care | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2026-03-20 |