| NPI | 1235667098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN BIESZKA Owner 419-439-1218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS410344357) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2018-03-17 |