| NPI | 1467573089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL SIMMONS Chief Financial Officer 216-481-1909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: OH 9402) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |