| NPI | 1134168461 |
|---|---|
| Doing Business As | PROMEDICA SKILLED NURSING AND REHABILITATION (SHADYSIDE) |
| Entity Type | Organization |
| Authorized Contact | MARTIN D ALLEN Director 419-252-5743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 090302) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2023-02-09 |