| NPI | 1689673295 |
|---|---|
| Doing Business As | INDEPENDENCE HOUSE |
| Entity Type | Organization |
| Authorized Contact | BRIDGETT M GAMBY-MUNDY Administrator 419-435-8505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 1951) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2008-01-29 |