| NPI | 1164138558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED MITCHELL WALLACE Secretary/Treasurer 330-417-2083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2025-03-07 |