| NPI | 1720221641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UBAH A ALI Administrator 614-414-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH 1563972) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2013-05-01 |