| NPI | 1548676075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHRA M VINES-LEAK Healthcare Administrator 419-491-0970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 385H00000X Respite Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2026-04-29 |