NPI | 1861419814 |
---|---|
Doing Business As | HERITAGE MANOR |
Entity Type | Organization |
Authorized Contact | DAVID JOHN STAUFFER CFO 330-397-8025 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 3234) |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
Enumeration Date | 2006-07-16 |
Last Update Date | 2023-06-05 |