| NPI | 1275170425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN DANIEL TOLLIVER Director Of Operation 740-583-0740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251F00000X Home Infusion |
| 251G00000X Hospice Care, Community Based | |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |