| NPI | 1518958354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL QUEENER Administrator 614-416-6132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 5213) |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2015-03-09 |