| NPI | 1023868148 |
|---|---|
| Former Legal Business Name | TRACY DANIELS |
| Entity Type | Organization |
| Authorized Contact | TRACY ANN DANIELS Independent Provider Personal Care 937-520-1679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-03-22 |