| NPI | 1427031012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DUDASKO Executive Director 513-398-1486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OH 1962R) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: OH 1962N) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2020-08-22 |