| NPI | 1760163083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORDELL M MITCHELL Pastor 937-305-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-07-28 |