| NPI | 1902147606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANETTE CARSON Admin 440-569-9951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 163W00000X Registered Nurse | |
| 164W00000X Licensed Practical Nurse | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2015-09-29 |