| NPI | 1538870902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONIE D JACKSON Owner 216-466-1379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251S00000X | |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2024-11-04 |