NPI | 1730559428 |
---|---|
Entity Type | Organization |
Authorized Contact | TANIKA L OWENS Personal Trainer/Owner 502-931-3834 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: KY 039048) |
Enumeration Date | 2015-10-07 |
Last Update Date | 2015-10-07 |