| NPI | 1417904103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE MARIE CLEAVENGER Home Health Care Provider 330-922-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: OH 2225612) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-08-22 |