| NPI | 1417387184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER TYRONE PETERSON Stna 216-640-1898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OH 400516640605) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |