| NPI | 1932803087 |
|---|---|
| Doing Business As | LEGACY BUCYRUS |
| Entity Type | Organization |
| Authorized Contact | JIM TAYLOR CEO 440-590-0969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-03-30 |