| NPI | 1295309136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMIKA GORDON Managing Member 614-795-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251X00000X | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2021-05-15 |
| Last Update Date | 2021-05-15 |