| NPI | 1346838604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY PENDLETON CEO 419-324-6584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 302F00000X Exclusive Provider Organization | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2021-01-04 |