| NPI | 1811162977 |
|---|---|
| Doing Business As | HOMESTEAD RETIREMENT HOME |
| Entity Type | Organization |
| Authorized Contact | PAUL CHRISLER ELLINGSWORTH President 614-718-0093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL245) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |