| NPI | 1245227941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J BOLGER Administrator 740-266-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 6136) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2020-08-22 |