NPI | 1083042501 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH K. GOEPFRICH Executive Director 269-925-1725 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
Additional Taxonomies | 251E00000X Home Health |
Enumeration Date | 2013-10-18 |
Last Update Date | 2023-04-21 |