| NPI | 1194939140 |
|---|---|
| Other Name | HOME HEALTH AIDE |
| Entity Type | Organization |
| Authorized Contact | JUDY MAY CANTRELL Providor 740-354-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |