NPI | 1093381550 |
---|---|
Entity Type | Organization |
Authorized Contact | SONYA CALLOWAY Owner 216-856-3752 |
Organization Subpart ? | No |
Primary Taxonomy | 251T00000X PACE Provider Organization |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
Enumeration Date | 2021-06-03 |
Last Update Date | 2021-06-29 |