| NPI | 1326479643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO D BOYD Stna 216-239-9968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH 400412651004) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: OH 400412651004) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |