| NPI | 1003476334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EITAN LAGHAIE VP Of Business Office 419-227-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-07-18 |