| NPI | 1386643948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS W. POTTS Nha/President 330-833-3174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 4070) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2020-08-22 |