| 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 |