| NPI | 1639707755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY DIANE JOHNSON Owner 216-630-3037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2024-03-01 |