| NPI | 1962766519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS R. GYSAN Owner/Administrator 419-502-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |