| NPI | 1144241324 |
|---|---|
| Doing Business As | WESTERN RESERVE MASONIC COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | SCOTT BUCHANAN CFO 937-525-4975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 6113) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: OH 6114) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2015-02-03 |