| NPI | 1508014408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN KIMBROUGH Owner 563-579-7293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |