| NPI | 1164826871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANA BEAUDOIN Lpn 937-248-4873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH 147428) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |