| NPI | 1336872969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINE SPENCE Owner 614-806-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-07-01 |