| NPI | 1538947809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENORA JONES Director 330-937-4007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home |
| 315P00000X Intermediate Care Facility, Mentally Retarded | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 374U00000X Home Health Aide | |
| 311Z00000X Custodial Care Facility | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 174200000X Meals | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QR0400X Clinic/Center Rehabilitation | |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-08-06 |