| NPI | 1780753582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM SMITH Administrator 330-456-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 3135) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |