| NPI | 1609831429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANN MINNIE Director Revenue Cycle 216-910-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 5870) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: OH 5870) |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2021-03-17 |