| NPI | 1669910980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE JACKSON JACKSON Owner 419-270-2592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: OH sk455996) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: OH sk455996) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |