| NPI | 1982426219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN DRATI Managing Member 877-877-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |