| NPI | 1326039744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M. DOHERTY Administrator 440-282-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 365623) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2020-08-22 |