NPI | 1932888013 |
---|---|
Entity Type | Organization |
Authorized Contact | LAKEYTA GILCREASE CEO 216-609-6657 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
385H00000X Respite Care | |
385HR2050X Respite Care, Respite Care Camp | |
Enumeration Date | 2023-07-14 |
Last Update Date | 2025-07-12 |