| NPI | 1740699883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SHANTELL SCOTT Lpn 216-536-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 155296) |
| Enumeration Date | 2014-08-02 |
| Last Update Date | 2014-08-02 |