| NPI | 1215381397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMOND CARIE MCCOY Independent Provider 330-809-3562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OH Tg441174) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |