| NPI | 1003854944 |
|---|---|
| Doing Business As | PROMEDICA SKILLED NURSING AND REHABILITATION (WATERLOO) |
| Entity Type | Organization |
| Authorized Contact | MARTIN D ALLEN Director 419-252-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA NF-361) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-04-06 |