| NPI | 1215929567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER LEE REYNOLDS Administrator 740-546-3620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 6220) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-08-22 |