| NPI | 1053087015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL SMITH Lpn 216-924-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-08-19 |