| NPI | 1457535445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LYNN CAROTHERS L PT A 440-813-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 04954) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |