| NPI | 1316799141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: OH 1988HHN) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH 1988hhn) |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-04-04 |