NPI | 1790052868 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN M O'LEARY PT A 330-240-3624 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 06415) |
Enumeration Date | 2011-11-17 |
Last Update Date | 2011-11-17 |