| NPI | 1376034132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE LASALLE MILLS Owner 330-608-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| Enumeration Date | 2018-05-28 |
| Last Update Date | 2018-05-28 |