| NPI | 1912264474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS F THORNOCK Sole Proprietor 208-847-2623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |