| NPI | 1699980037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUCK RICKS Director 304-927-1997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant (Licence: WV 001) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2022-07-21 |