| NPI | 1194112474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETURA JACKSON CEO 216-855-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |