| NPI | 1730456575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSY ALAGBE Registered Nurse 614-260-7834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: IN 28198833A) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |