| NPI | 1790192961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA FAYE ROUNDTREE Phlebotomy 419-973-6420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |