| NPI | 1457453334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER P WIDMAN Administrator 419-937-1801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 0982N) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2019-06-12 |