| NPI | 1518648039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EL-SHADDAI HAGGARD Owner 513-652-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X |
| 251J00000X Nursing Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-27 |