| NPI | 1487085684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATERA DAVINDA LAW-HORTON Licensed Practical Nurse 216-965-4554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH PN.148985-M-IV) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: OH PN.148985-M-IV) |
| 314000000X Skilled Nursing Facility (Licence: OH PN.148985-M-IV) | |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |