| NPI | 1528864139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRENCE S ROSE Doo 513-302-9357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Additional Taxonomies | 174200000X Meals |
| 251E00000X Home Health | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-02-24 |