| NPI | 1275815128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENIA MIHAS Owner 330-372-2507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |