| NPI | 1003501206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH WASHINGTON Owner 440-308-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-05 |