| NPI | 1336693860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIA THOMPSON Lpn 216-266-1821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 143952) |
| Enumeration Date | 2016-08-13 |
| Last Update Date | 2016-08-13 |