| NPI | 1578333951 |
|---|---|
| Doing Business As | MONON AVENUE HOME |
| Entity Type | Organization |
| Authorized Contact | JOE ALTIERI President 330-936-7158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |