| NPI | 1194702654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA STALLWORTH Administrator 513-351-0153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 1309) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-08-22 |