| NPI | 1508685637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE DOBRIANSKY Nurse Practitioner 440-228-8302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 282E00000X |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |