| NPI | 1922764240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DISNEY Owner 501-918-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |