| NPI | 1861180333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATRELL LUREE HAWKINS Client Services Dierctor 234-738-4360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 342000000X |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-24 |