| NPI | 1760552574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYLEY M. STUBER Director 419-824-7576 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MI 464010) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2013-02-25 |