| NPI | 1154699239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI MORGAN Registered Nurse 330-810-1705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |