| NPI | 1356060636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNIECE JACKSON-GLENN Owner 330-244-7264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372500000X Chore Provider |
| Additional Taxonomies | 174200000X Meals |
| 224P00000X Prosthetist | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-23 |