| NPI | 1588471569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY RICHERSON Manager 216-482-1635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 251E00000X Home Health | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 332U00000X Home Delivered Meals | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 376J00000X Homemaker | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2024-12-13 |