| 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 |