| NPI | 1275719049 |
|---|---|
| Doing Business As | INDEPENDENCE HOUSE |
| Entity Type | Organization |
| Authorized Contact | BRIDGETT MARIE MUNDY Administrator 419-435-8505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 1951N) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 4444) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2016-09-15 |