| NPI | 1881436442 |
|---|---|
| Former Legal Business Name | MCKENZIE RESIDENTIAL HOME CARE LLC |
| Entity Type | Organization |
| Authorized Contact | ADA MCKENZIE Owner 757-376-5446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |