| NPI | 1104257302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARESE L WILLIAMS Stna 216-798-0828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: OH 376141640197) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |