| NPI | 1003403254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNIE WILBORN CEO 330-328-2350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2020-12-22 |