| NPI | 1952985731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MERIWEATHER Owner 502-619-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-05-08 |
| Last Update Date | 2023-08-30 |