| NPI | 1255387114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN D ALLEN Director 419-252-5743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 09350200) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2022-01-27 |