| NPI | 1922484740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA DAVIS-ALLEN CEO/Owner 330-880-6912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |