| NPI | 1780617043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D FOX Administrator 740-474-6238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 1058N) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |