| NPI | 1669709606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANIA MONIQUE MCCLESKEY Lpn 937-516-7887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH PN134284IV) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2013-03-06 |