| NPI | 1154364909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN D ALLEN Director 419-252-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 112897) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2017-05-30 |