| NPI | 1699773283 |
|---|---|
| Doing Business As | WICKLIFFE COUNTRY PLACE |
| Entity Type | Organization |
| Authorized Contact | BARRY STUMP CFO 216-898-8399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 2772) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2022-09-27 |