NPI | 1700682143 |
---|---|
Doing Business As | AVISION FOR OUR YOUTH |
Entity Type | Organization |
Authorized Contact | KATRINA BRAGG Owner 419-455-3489 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
347C00000X Private Vehicle | |
385H00000X Respite Care | |
Enumeration Date | 2025-02-24 |
Last Update Date | 2025-02-24 |