| NPI | 1740381094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY KLEIN Administrator 216-631-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 0588N) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2009-12-21 |