| NPI | 1518913136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN D ALLEN Director 419-252-5743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 231302) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2023-02-09 |