| NPI | 1528802790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FRIMPONG CEO 937-831-2883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-06-22 |
| Last Update Date | 2024-06-22 |