| NPI | 1679662456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN RANDOLPH Authorized Official 937-353-8575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OH 1563558) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2024-03-05 |