NPI | 1053856682 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW TAYLOR CEO 330-212-8228 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 253J00000X Foster Care Agency |
310400000X Assisted Living Facility | |
311ZA0620X Custodial Care Facility, Adult Care Home | |
315P00000X Intermediate Care Facility, Intellectual Disabilities | |
343800000X Secured Medical Transport (VAN) | |
343900000X Non-emergency Medical Transport (VAN) | |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
Enumeration Date | 2017-01-06 |
Last Update Date | 2017-01-06 |