| NPI | 1750626594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MAISON Program Manager 216-791-2196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OH OTA.05028) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |