| NPI | 1134568132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE SCHRENKER Lpn 513-948-2339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH 148696) |
| Additional Taxonomies | 282E00000X (Licence: OH 148696) |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: IN 27068634A) | |
| 314000000X Skilled Nursing Facility (Licence: OH 148696) | |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: OH 148696) | |
| 385H00000X Respite Care (Licence: OH 148696) | |
| 385H00000X Respite Care (Licence: IN 27068634A) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: IN 27068634A) | |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2013-06-24 |