| NPI | 1013503952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD T MARTIN CEO 330-327-1696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2020-12-15 |