| NPI | 1871108449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POROTHEA LYNNETTE DENNIS Owner/Provider 937-974-9398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-12 |