| NPI | 1972899235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIA KOMBA Lpn 614-209-6647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: OH 144731) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2011-06-24 |