| NPI | 1043513625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYLEY BUTERA WILLIAMS Attorney 216-706-3864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |