| NPI | 1518949445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MALETICH Administrator 330-927-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 2548) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2020-08-22 |