| NPI | 1689896193 |
|---|---|
| Doing Business As | MEDSOURCE HOME CARE |
| Entity Type | Organization |
| Authorized Contact | TERRY L MAYNARD President 216-289-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-07-15 |