| 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 |