| NPI | 1912607144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAZMIN WALLS Owner 689-266-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251E00000X Home Health |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-05-02 |