| NPI | 1275248684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICEMAE LIDGE Partner/Doo 330-962-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-05-08 |