| NPI | 1851196042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA SHAUNDA G PERRY CEO/Owner 216-612-2911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator |
| 163WC0400X Registered Nurse, Case Management | |
| 163WH0200X Registered Nurse, Home Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-13 |