| NPI | 1013339324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA EVANS Executive Director 937-528-1027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OH 52793274) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: OH ru426244) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |