| NPI | 1417778887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICK MIZONE CEO 937-586-8995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2024-10-18 |