| NPI | 1134726573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS VIARS Billing Specialist 614-588-0320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| 376J00000X Homemaker | |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |