| NPI | 1134509425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MARIE PHILLIPS Owner 216-322-1852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: OH PN146071) |
| Additional Taxonomies | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: OH PN146071) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |