| NPI | 1851197248 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: PA 152180) |
| Additional Taxonomies | 2278P3800X Respiratory Therapist, Certified, Palliative/Hospice |
| 253Z00000X In Home Supportive Care | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-06-24 |