| NPI | 1497356331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS RAY CARTER Fiscal Manager 419-228-5135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |