| NPI | 1962619379 |
|---|---|
| Doing Business As | MRDD SERVICE PROVIDER FPR MRDD CLIENTS |
| Entity Type | Organization |
| Authorized Contact | LARRY L. MCKINSTRY Owner, Administrator 330-575-1861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OH 7600760) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2023-09-06 |