| NPI | 1326251042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LYN HOLLAND Lpn 419-334-8466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OH pn118417) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: OH pn118417) |
| 302R00000X Health Maintenance Organization (Licence: OH pn118417) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |