| NPI | 1982403754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY HUCKLEBERRY Owner/ Manager 980-206-8188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-18 |