| NPI | 1811487184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH 0476704) |
| Additional Taxonomies | 251E00000X Home Health (Licence: OH 0476704) |
| 253Z00000X In Home Supportive Care (Licence: OH 0476704) | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 347C00000X Private Vehicle (Licence: OH 0476704) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: OH 0476704) | |
| 163WH0200X Registered Nurse, Home Health (Licence: OH RQ626852) | |
| 172A00000X Driver (Licence: OH 0476704) | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker (Licence: OH 0476704) | |
| Enumeration Date | 2018-05-13 |
| Last Update Date | 2022-07-15 |