| NPI | 1558962993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY WRIGHT Administrative Assistant 740-808-0775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |