| NPI | 1891669057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IA 002570) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: IA 002570) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IA 002570) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IA 002570) | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care (Licence: IA 002570) | |
| 320700000X Residential Treatment Facility, Physical Disabilities (Licence: IA 002570) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: IA 002570) | |
| 253Z00000X In Home Supportive Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-01 |