NPI | 1154087856 |
---|---|
Former Legal Business Name | SKLD DEFIANCE |
Doing Business As | DEFIANCE HEALTHCARE AND REHABILITATION CENTER |
Entity Type | Organization |
Authorized Contact | JASON DIPASQUA COO 330-720-0406 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2021-11-17 |
Last Update Date | 2021-11-17 |