| NPI | 1689612194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN D ALLEN Director 419-252-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0041830) |
| Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2023-02-28 |