| NPI | 1326426909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KNICE BONNER License Practical Nursing 513-338-3165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH 153962) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |