| NPI | 1740558741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNTAE JOHNSON Lpn 216-326-1834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: OH PN122825 meds) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2012-01-24 |