ELOHIM COMPLETE WELLBEING CORPORATION

Meals

Code: 174200000X

Home Health

Code: 251E00000X

Clinic/Center — Medically Fragile Infants and Children Day Care

Code: 261QM3000X

Respite Care — Respite Care, Intellectual and/or Developmental Disabilities, Child

Code: 385HR2060X

Respite Care — Respite Care, Physical Disabilities, Child

Code: 385HR2065X