| NPI | 1992058663 |
|---|---|
| Other Name | CHAMPION ESTATES ASSISTED LIVING RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | JOHN J MASTERNICK Owner/President 330-545-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-12-31 |