| NPI | 1598138364 |
|---|---|
| Doing Business As | INDEPENDENT PROVIDER |
| Entity Type | Organization |
| Authorized Contact | ELVIS N MBAH Homecare 513-693-3593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |