| NPI | 1922623792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEARIRA SHANEA COWAN Organizer 216-799-2908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |