| NPI | 1588669899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LEE HEABERLIN Administrator 740-532-6096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 1547n) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2008-06-16 |