| NPI | 1962958512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMIE LYNN MAYLE Home Health Aid 330-265-7902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |