| NPI | 1245569060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOSSIVI ROGER DJAGLI CEO 614-500-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 172A00000X Driver |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 3747P1801X Technician Personal Care Attendant | |
| 376J00000X Homemaker | |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2020-11-17 |