| NPI | 1184931412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE WIREDU RN 614-552-3912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH 321869) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |