| NPI | 1437616471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BLAIR Owner 419-618-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |