| NPI | 1710601653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WEISBERG President 216-292-5706 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-12-19 |