| NPI | 1568895084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE LASHAUN YOUNG Stna 419-270-4012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OH 400916240509) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |