| NPI | 1669882601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDIYE JOY ENOOBONG Licensed Practical Nurse 614-377-9044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH 156004) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |