| NPI | 1790852879 |
|---|---|
| Doing Business As | WOODBINE |
| Entity Type | Organization |
| Authorized Contact | KURT MILLER President 330-307-6816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2012-12-28 |