NPI | 1518556703 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELLY MCCOY GRISSOM Executive Director 419-242-9511 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
Enumeration Date | 2021-01-13 |
Last Update Date | 2021-01-13 |