| NPI | 1447687637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA MARZAN CASTANEDA Part Owner 216-214-6176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9708) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |