| NPI | 1619846904 |
|---|---|
| Doing Business As | THE INDEPENDENCE HOUSE OF FOSTORIA |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS DESTEFANE President 314-543-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-04 |