| NPI | 1194722744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY RICHARDSON Executive Director 614-846-6076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 1838) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 1838) |
| 310400000X Assisted Living Facility (Licence: OH 1838R) | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-08-22 |