NPI | 1861862336 |
---|---|
Doing Business As | KIMBALL HOME |
Entity Type | Organization |
Authorized Contact | WILLIAM B. AUSTIN Licensed Nursing Home Admin/Owner 440-466-1678 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OH 28268) |
Enumeration Date | 2015-09-28 |
Last Update Date | 2015-09-28 |