| NPI | 1295068112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L BOOKLESS Lpn 740-683-2904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH PN084391) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-10 |