| NPI | 1124819586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHONA DOUGLAS Owner/ Operator 216-858-6199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-15 |