| NPI | 1033789177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURTIS MCLENDON Agency CEO 419-961-5104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 172A00000X Driver |
| 251X00000X Supports Brokerage | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 372600000X Adult Companion | |
| 3747P1801X Technician Personal Care Attendant | |
| 376J00000X Homemaker | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |