| NPI | 1336866672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLA HALL CEO 937-369-1491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-10-27 |