NPI | 1629264379 |
---|---|
Doing Business As | SUMMIT'STRACE OF CANTON |
Entity Type | Organization |
Authorized Contact | PAUL M DAUERMAN CEO 614-459-2656 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2007-09-17 |
Last Update Date | 2007-11-08 |