| NPI | 1972350171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENITA SHAUNTEL DRAPER Owner 917-673-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2024-05-04 |
| Last Update Date | 2024-05-04 |