| NPI | 1255093381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL SMITH Lpn 216-942-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2022-10-25 |