| NPI | 1962218149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WASIU ADIGUN Owner 667-770-0299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 385H00000X Respite Care | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2025-09-02 |