| NPI | 1417345356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIKRE WORKU FETENE Nurse Aid 614-589-4874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH 401273120711) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |