| NPI | 1447603295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH BENTON Program Manager 567-674-0823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OH 3202448) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |