| NPI | 1326440686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE DENNIS Executive Director 304-485-6748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: WV 0030821002) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |