| NPI | 1316283088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH 400314931203) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 400314931203) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |