| NPI | 1710760954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRIN A MIRE Representative 614-966-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 174200000X |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-14 |