| NPI | 1285181123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIANA S HABEEBULLAH CEO 330-481-7674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251T00000X PACE Provider Organization | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| 372600000X Adult Companion | |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |