| NPI | 1497575435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEAIRA N MALLORY Director Of Operations/ Owner 937-422-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| 314000000X Skilled Nursing Facility | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2025-12-12 |