| NPI | 1457772659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANAYA ALYSIA MCMILLER Stna 216-561-0459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH 400686441107) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |