| NPI | 1023118114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN F. BAUM Administrator 330-492-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 3302) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-25 |