| NPI | 1831479195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN SHAFER Director Of Operations 615-512-6876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2011-10-31 |