| NPI | 1033247085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY G BOONE Director 330-394-3037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OH 6361) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |