NPI | 1922066679 |
---|---|
Doing Business As | MDC GOLDENROD |
Entity Type | Organization |
Authorized Contact | DAVID HEUSINKVELD Executive Director 574-533-9720 |
Organization Subpart ? | No |
Primary Taxonomy | 385H00000X Respite Care |
Enumeration Date | 2006-05-03 |
Last Update Date | 2020-08-22 |