NPI | 1043823701 |
---|---|
Former Legal Business Name | MOTHER HARRELL'S HAVEN |
Entity Type | Organization |
Authorized Contact | TIMOTHY VERNON KELLY Owner 330-268-9065 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Enumeration Date | 2020-08-24 |
Last Update Date | 2020-08-24 |