| NPI | 1780095588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA PRUSAK Business Manager 440-654-4714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH S-0016958) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OH OH1093982) |
| 252Y00000X Early Intervention Provider Agency (Licence: OH OH1093982) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: OH RS052920) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: OH S-0016958) | |
| 347C00000X Private Vehicle (Licence: OH RS052920) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-16 |