| NPI | 1124033980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RALSTON System Director 419-996-5119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA NH2511) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VA NH2511) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-10-22 |