| NPI | 1801288386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVONDRA MARSHALL Adult Care Specialist 216-396-6169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH 037587) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-02-20 |