| NPI | 1851785570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETURA JACKSON President 216-855-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: OH RN.363895) |
| Additional Taxonomies | 251E00000X Home Health (Licence: OH RN.363895) |
| 347C00000X Private Vehicle (Licence: OH RN.363895) | |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |