| NPI | 1396417051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVONTIA SHARROCK CEO 419-560-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
| Additional Taxonomies | 251E00000X Home Health |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2021-10-01 |