| NPI | 1881062610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENISHA EVONE WHITE CEO 419-810-0920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 251J00000X Nursing Care | |
| 251C00000X | |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |