| NPI | 1962368209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOL MCCAW Owner 877-741-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-12-30 |
| Last Update Date | 2026-01-19 |