| NPI | 1821709569 |
|---|---|
| Doing Business As | INDEPENDENT PROVIDER |
| Entity Type | Organization |
| Authorized Contact | AUTUMN NICOLE DODSON Hha 330-937-2387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2022-12-13 |