| NPI | 1790562007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DUANE JOHNSON Owner 513-221-9982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-12 |