| NPI | 1083140297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELI M GUNZBURG Manager 440-658-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 1498N) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: OH 1498R) |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2017-05-26 |