| NPI | 1043294390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KNOWLSON Administrator 440-466-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 365962) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-08-22 |