| NPI | 1225907744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE ANN WADUD Provider 330-962-2380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2026-01-09 |