| NPI | 1134646110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSIE E DIBO NGALLE President/CEO 937-212-9834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OH 011139) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH 011139) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2025-05-23 |