| NPI | 1881823425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHEA CANDICE COOPER Executive Director 614-218-3043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 102356) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 50103771105) |
| Enumeration Date | 2009-07-03 |
| Last Update Date | 2009-07-03 |