| NPI | 1508126392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA J STOUT Owner 330-663-3473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251J00000X Nursing Care | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-07-09 |