| NPI | 1144935966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA EVANS Director 937-504-2480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 342000000X Transportation Network Company | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-16 |