| NPI | 1497369425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN EZENTO Director 513-526-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |