| NPI | 1699715482 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | ANGEL PATRICE BUTLER Nursing Asst 216-692-1079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH 376865411097) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |