| NPI | 1831793363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KEISTER Administrator 330-312-5457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251X00000X Supports Brokerage | |
| 253Z00000X In Home Supportive Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-11-25 |