| NPI | 1578638938 |
|---|---|
| Doing Business As | INDEPENDENT PROVIDER |
| Entity Type | Organization |
| Authorized Contact | TRACEY LYNN BELTZ Home Health Aide 740-504-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OH 2605461) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |