NPI | 1912485517 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM I WEISBERG President 216-292-5706 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2018-08-06 |
Last Update Date | 2022-12-19 |