| NPI | 1669836359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORTO SULONGTEH-NELSON Owner 330-310-6812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH COA 14717) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |