| NPI | 1033210844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE A HORNBECK Business Manager 330-832-9582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-08-02 |