| NPI | 1508159237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIFTY LA VAR-DAVIS RN Case Manager 614-735-2175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OH 201107000980) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OH 201107000980) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: OH 201107000980) | |
| 251F00000X Home Infusion (Licence: OH 201107000980) | |
| 251S00000X Community/Behavioral Health (Licence: OH 201107000980) | |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-27 |