| NPI | 1083600118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY S. MARITA Administrator 216-373-1807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 0675) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2020-08-22 |