| NPI | 1669083697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVONTE LISA AVERY Lpn 513-501-0211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |