| NPI | 1366178105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L MCCULLOUGH Director 269-512-6163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 332U00000X Home Delivered Meals |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-07-25 |