| NPI | 1699771089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE M. CAMPBELL President 216-226-3858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 4943) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: OH 5803) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 4943) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2019-06-26 |