| NPI | 1790094019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA S. GOODEN Owner 330-418-1025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 251B00000X Case Management | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347B00000X Bus | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2023-07-26 |