| NPI | 1497144208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELYNDA MARIE MORGAN State Tested Nursing Assistant 567-712-1412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH 401252400611) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |