| NPI | 1639252901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN KING Executive Director 419-866-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: OH 0523768) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OH 4800139) |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 376J00000X Homemaker | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: OH 0523768) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-04-15 |