| NPI | 1447654579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MCCOY Sole Member 330-634-6163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |