| NPI | 1467962423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE MITZEL Certified Nurse Practitioner 330-704-0704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |