| NPI | 1962847236 |
|---|---|
| Doing Business As | INDEPENT PROVIDER |
| Entity Type | Organization |
| Authorized Contact | TESSA PATRICIA SKEENS Nursing Assistant 937-287-8460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OH 3651899) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |