| NPI | 1083766950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EUGENE SHERRY Administrator 419-263-2334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: OH 2373) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 2373) |
| 314000000X Skilled Nursing Facility (Licence: OH 2373) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |