| NPI | 1629052139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C. DENNIE Administrator 419-724-5156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 0184) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-08-22 |