| NPI | 1477245918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA M EISAMAN President 419-688-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2024-12-02 |