NPI | 1487068391 |
---|---|
Entity Type | Organization |
Authorized Contact | HILDA BERNICE POORE Executive Director 330-284-8929 |
Organization Subpart ? | No |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: OH 03-7094) |
Enumeration Date | 2014-06-18 |
Last Update Date | 2014-06-18 |