| NPI | 1568919470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOLA P ELLISON Billing Coordinator 859-259-9687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: KY 720205) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |