| NPI | 1396492161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY M PHILLIPS Nurse 330-506-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2023-05-07 |