| NPI | 1932524576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSONDRA HARRIS Lpn 216-694-1163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH PN.130298) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |