| NPI | 1730549486 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY S BAKER Independent Service Provider 614-354-7783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |