NPI | 1548243769 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE MICHAEL TARLE Administrator 740-282-4581 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Additional Taxonomies | 314000000X Skilled Nursing Facility |
Enumeration Date | 2005-11-22 |
Last Update Date | 2020-08-22 |