| NPI | 1063491058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DIPASQUA Administrator 330-652-2053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 3679) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2020-08-22 |