| NPI | 1316394216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIA JONES Stna 513-615-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH 364914840691) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |