| NPI | 1245587625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEIRRA M GRILLS Lpn 216-466-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 144238) |
| Enumeration Date | 2012-08-05 |
| Last Update Date | 2012-08-14 |