| NPI | 1518105931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIFER FOWLER Lpn 740-507-4914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: OH 122172) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |