| NPI | 1417226374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE DENICE PETTIES Owner 440-341-7309 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: OH 400300631103) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH 400300631103) |
| 172A00000X Driver (Licence: OH RS000497) | |
| 372500000X Chore Provider (Licence: OH 400300631103) | |
| 372600000X Adult Companion (Licence: OH 40003000631103) | |
| 3747A0650X Technician, Attendant Care Provider (Licence: OH 400300631103) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: OH 400300631103) | |
| 376G00000X Nursing Home Administrator | |
| 376J00000X Homemaker (Licence: OH 400300631103) | |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |