| NPI | 1700292604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE PRESLEY RN 419-536-5848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315D00000X Hospice, Inpatient (Licence: OH RN305856) |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: OH RN305856) |
| 282E00000X Long Term Care Hospital (Licence: OH RN305856) | |
| 283Q00000X Psychiatric Hospital (Licence: OH RN305856) | |
| 291U00000X Clinical Medical Laboratory (Licence: OH RN305856) | |
| 310500000X Intermediate Care Facility, Mental Illness (Licence: OH RN305856) | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: OH RN305856) | |
| 385HR2050X Respite Care Respite Care Camp (Licence: OH RN305856) | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child (Licence: OH RN305856) | |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |