| NPI | 1659683936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY ANN TICE Certified Occupational Therapis 330-424-1504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 1087) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2010-07-02 |