| NPI | 1992262851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLEN D OHAIR Owner 502-600-2367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 372600000X Adult Companion |
| 374T00000X Religious Nonmedical Nursing Personnel | |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-28 |