NPI | 1932475142 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH LORRAINE VANDERGAAST Owner / Director 563-886-3143 |
Organization Subpart ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 104423) |
Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: IA 104423) |
385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: IA 104423) | |
Enumeration Date | 2012-04-02 |
Last Update Date | 2012-04-02 |