| NPI | 1245442011 |
|---|---|
| Former Legal Business Name | COUNTRY ANGELS HOME HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | MARY D PENCIL Administrator 937-717-0158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OH OH03566) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2024-06-28 |