| NPI | 1942825534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PORSCHA LUSK Director Of Operations 216-456-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2022-11-17 |