| NPI | 1801124409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY JUNE GREENE Registered Nurse 216-391-1192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OH RN284000) |
| Additional Taxonomies | 315D00000X Hospice, Inpatient (Licence: OH RN284000) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2009-11-20 |