| NPI | 1023837002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUAD ALI Owner 614-674-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |