| NPI | 1134368954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE R MACK Licsensed Practical Nurse 614-657-8329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH PN 129744 IV) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |