| NPI | 1992520902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATORRIA CLARK CEO 330-815-0052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-11-15 |