| 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 |