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 |