| NPI | 1356047997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOLAJI EGHAREVBA Administrator 330-999-2426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |