| NPI | 1821665423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON CARUSO Owner 513-560-2904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2022-01-31 |