| NPI | 1235750753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRA MARTIN CEO 330-915-8347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2021-11-17 |