| NPI | 1215618277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMIKA M JACKSON Owner 614-778-0815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251C00000X | |
| 251E00000X Home Health | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-11-14 |