| NPI | 1164843611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERMAN L COE Stna 216-224-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: OH 400155510802) |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2013-12-31 |