| NPI | 1639850712 |
|---|---|
| Former Legal Business Name | R E BLACK LLC |
| Entity Type | Organization |
| Authorized Contact | ERICA MARIE COIT Owner 614-595-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |