| NPI | 1770606535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTA ANN CHATMON Care Provider 330-898-6413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |