| NPI | 1780941484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD GARRETT Stna 937-520-0395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 400598840307) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |