| NPI | 1841614807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHECONNA L DANIELS Stna 216-370-0256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH 401432270812) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |