| NPI | 1467153452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKEISHA WALLACE Owner 440-691-8126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2025-03-04 |