| NPI | 1982471587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWANDA JOHNSON Owner 419-699-6769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |