| NPI | 1811967441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RALSTON Director Payor Admin 419-996-5119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: KY 150101) |
| Additional Taxonomies | 251E00000X Home Health (Licence: IL 1010108) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2022-12-12 |