UNIVERSAL SENIOR HOME CARE LLC

Clinic/Center — Primary Care

Code: 261QP2300X

Day Training, Developmentally Disabled Services

Code: 251C00000X

Clinic/Center — Mental Health (Including Community Mental Health Center)

Code: 261QM0801X

Clinic/Center — Adult Mental Health

Code: 261QM0850X

Community/Behavioral Health

Code: 251S00000X