NPI | 1275873317 |
---|---|
Doing Business As | LOCKWOOD FAMILY HOME |
Entity Type | Organization |
Authorized Contact | MARY JO JASKELA Controller 440-428-9082 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2013-02-27 |
Last Update Date | 2022-07-21 |