| NPI | 1245804459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIQUITTA RUSSELL Owner 216-322-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2023-01-23 |