| NPI | 1811365778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD E. MCCLELLAN President 563-650-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MO 12172) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |