| NPI | 1437403508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. BUNNER President 419-529-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: OH 2282AGH) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |