| NPI | 1982029476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA ALAINE TUCKER Administrator/Owner 405-824-1378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |