| NPI | 1093006298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL SUE HUGHES RN 937-938-1326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH RN204192) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |