| NPI | 1083711352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA RILEY Administrator 740-653-8767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 4912) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |