| NPI | 1548676075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHRA M VINES Healthcare Administrator 419-491-0970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2014-07-04 |
| Last Update Date | 2014-07-04 |