| NPI | 1598472011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOMA ORLUMKPO Owner 419-340-7098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2022-11-03 |