| NPI | 1922428036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVIS MBUNYA L.P.N 216-313-0897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH PN.155289-M-IV) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |