| NPI | 1881907921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY KOCH Program Manager 216-361-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 9273) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |