| NPI | 1659555407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAUNDRA LEE BALLARD Lpn 937-479-1676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH pn0830007) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |