| NPI | 1942426580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE NELSON C.O.O. 269-966-1347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2015-02-05 |