| NPI | 1881681054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA PATRICK Asst Administrator/Don 419-627-8733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2017-09-28 |