| NPI | 1194466250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA GRIFFIN Owner 216-532-9034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| 311Z00000X Custodial Care Facility | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |