| NPI | 1982935607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENTINA LEBEAU CEO 770-437-0714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 130439) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 347C00000X Private Vehicle | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: GA 130439) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: GA 130439) | |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2022-07-21 |