| NPI | 1386974582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE FAITH NEWMAN Owner/Manager 440-476-8905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH 3270AGH) |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2010-01-11 |