| NPI | 1609521160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA J BOYD President 216-609-9023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 172A00000X Driver |
| 251C00000X | |
| 174200000X Meals | |
| 251E00000X Home Health | |
| 251X00000X Supports Brokerage | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-02-14 |