| NPI | 1255328050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATE ROOT Administrator 740-387-9545 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 1473) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2019-07-12 |