| NPI | 1447671631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE CHANTEL BELTCHER Stna 216-394-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH 401388950512) |
| Enumeration Date | 2013-12-15 |
| Last Update Date | 2013-12-15 |