NPI | 1821634767 |
---|---|
Entity Type | Organization |
Authorized Contact | NATODDSHA DOWNEY CEO 618-795-9020 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 347C00000X Private Vehicle |
385H00000X Respite Care | |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
343900000X Non-emergency Medical Transport (VAN) | |
253Z00000X In Home Supportive Care | |
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
Enumeration Date | 2019-11-26 |
Last Update Date | 2019-11-26 |