| NPI | 1013289156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE CLAY Owner 304-369-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: WV 2261-0377) |
| Additional Taxonomies | 251B00000X Case Management (Licence: WV 2261-0377) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-02-06 |