| NPI | 1861155590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA STALLWORTH CEO/ Director 419-283-0759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |