| NPI | 1013904234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RALSTON System Director 419-996-5119 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1055096) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2020-11-03 |