| NPI | 1912095993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK STUART MCCLEERY CFO 419-238-0715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 2296N) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 5862) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2016-12-05 |