| NPI | 1063539682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL D MASTERSON Chief Financial Officer 740-454-4637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2016-06-03 |