NPI | 1245787654 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES STEVEN BOGAN Licensed Practical Nurse 216-804-6678 |
Organization Subpart ? | No |
Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: OH PN.127610) |
Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH PN.127610) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2016-09-01 |