Provider Demographics
NPI:1275815128
Name:JUST LIKE HOME ACF
Entity Type:Organization
Organization Name:JUST LIKE HOME ACF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:EUGENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIHAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-372-2507
Mailing Address - Street 1:1610 NORTH RD NE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483-3657
Mailing Address - Country:US
Mailing Address - Phone:330-372-2507
Mailing Address - Fax:
Practice Address - Street 1:1610 NORTH RD NE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483-3657
Practice Address - Country:US
Practice Address - Phone:330-372-2507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No385H00000XRespite Care FacilityRespite Care