| NPI | 1841035169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVON WISE Owner 330-495-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251J00000X Nursing Care |
| 251X00000X | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-06-27 |