NPI | 1730663139 |
---|---|
Former Name | PAMELA SUE WARREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH PN087638) |
Enumeration Date | 2018-09-20 |
Last Update Date | 2018-09-20 |