| NPI | 1114180387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD J CROCK Administrator 740-732-5712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |