| NPI | 1497109573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DOUGLASS GRAY Registered Nurse 513-242-2164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH RN.196388) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |