| NPI | 1104050616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE MONTGOMERY Executive Director 330-666-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OH 2181r) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: OH 2181r) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |