| NPI | 1124751326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA WOLF Executive Director 419-580-1047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2022-07-05 |