| NPI | 1932573540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCSHUNDA SAPRINA BLACKWELL CEO 330-510-7847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: OH 7714003) |
| Additional Taxonomies | 253J00000X Foster Care Agency (Licence: OH 7714003) |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: OH 7714003) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: OH 7714003) | |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |