| NPI | 1578242947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA EVANS Owner/Director 937-504-2480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 251C00000X |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 291U00000X Clinical Medical Laboratory | |
| 305S00000X Point of Service | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 372600000X Adult Companion | |
| 373H00000X Day Training/Habilitation Specialist | |
| 385H00000X Respite Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2024-03-05 |