| NPI | 1861419814 |
|---|---|
| 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 |