| NPI | 1982070645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SANDERS Manager 330-647-1544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2050X Respite Care, Respite Care Camp | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |