| NPI | 1124363486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGETT FAYE TILLMAN Lpn 937-451-2972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OH 144294) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: OH 144294) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |