| NPI | 1861437154 |
|---|---|
| Doing Business As | PROMEDICA SKILLED NURSING AND REHABILITATION (FAIR OAKS) |
| Entity Type | Organization |
| Authorized Contact | MARTIN D ALLEN Director 419-252-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA NH2619) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2022-01-24 |