| NPI | 1265853451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE A RUFFIN Lpn 216-291-5788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH PN.095133-MEDS) |
| Enumeration Date | 2013-12-15 |
| Last Update Date | 2013-12-15 |