| NPI | 1821838335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEOPOLDINE BLAISE Owner/President 816-616-9399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2026-06-09 |