| NPI | 1518628429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN PISANELLI Authorized Representative 419-247-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2022-05-03 |