| NPI | 1104999846 |
|---|---|
| Doing Business As | THE CONVALARIUM AT INDIAN RUM |
| Entity Type | Organization |
| Authorized Contact | OSCAR G ALEMAN Controller 614-459-2482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 1900N) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2012-03-19 |