| 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 |