| NPI | 1366761124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE TITILOLA LADIPO Licensed Practical Nurse 614-554-6671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: OH 137701) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 137701) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |