| NPI | 1891010617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL ALLEN Program Manager 216-261-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH OTA 04357) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |