| NPI | 1811084064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY L. LONGACRE Controller 419-824-3673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 6045) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |