| NPI | 1528055126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN BOLGER Administrator 740-282-3605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 4849) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2014-10-15 |