| NPI | 1780656454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G MAISTROS Administrator 740-782-1561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 1500) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-08-22 |