| NPI | 1407465214 |
|---|---|
| Doing Business As | CHURCH ROAD HOME LLC |
| Entity Type | Organization |
| Authorized Contact | JAMES D GAINER Executive Director 717-712-4578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |