| NPI | 1104643246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMAH R SISTRUNK Operator 330-937-2316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2024-09-20 |