| NPI | 1932511458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE ESTELLE HERNANDEZ Executive Director 856-589-5640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2020-06-16 |