| NPI | 1083306005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANIYA SCOVIL Owner 216-798-3521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-05-31 |