| NPI | 1467662650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS PARRISH Frc 419-841-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH ota3005) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-12 |