| NPI | 1861808958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANITA WYNETT ARNOLD Nursing Asst. 216-799-6191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2022-07-21 |