| NPI | 1376131854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REEVE CARRIERO Owner 216-798-9231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343800000X Secured Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-01-09 |
| Last Update Date | 2021-01-09 |