| NPI | 1871767012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL S BALASCOE Controller 216-378-7693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2010-08-05 |