| NPI | 1972107043 |
|---|---|
| Other Name | MELISSA BOOTH, SOLE MEMBER |
| Entity Type | Organization |
| Authorized Contact | MELISSA BOOTH CEO 740-232-9138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X |
| 251X00000X | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2020-11-29 |
| Last Update Date | 2022-10-20 |