| NPI | 1912591892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZETTE IVY DE LOS SANTOS CEO 800-585-9120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2023-05-16 |