| NPI | 1205436573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS NEAL ISHERWOOD Owner/CEO 330-301-0373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |