| NPI | 1609015023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI A SHEGOW President 614-523-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH 1832395) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2012-01-12 |