Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Respite Care |
385H00000X | |||
Adult Companion |
372600000X | |||
Chore Provider |
372500000X | |||
Day Traning/Habilitation Specialist |
373H00000X | |||
Private Vehicle |
347C00000X | |||
Respite Care, Intellectual and/or Developmental Disabilities |
385HR2060X |
| NPI Number | 1568016756 |
| Entity | Organization |
| Organization subpart 1 | Not specified |
| Enumeration date | 07/26/2019 |
| Last updated | 07/26/2019 - About 7 years ago |
| Identifiers | n/a |
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JESSICA L CUSTER
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