| NPI | 1245524388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA NICOLE CONGER Lpn 740-606-8281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH 131015) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |