| NPI | 1952385320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA TRZCINSKI Administrator 614-890-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OH 2675) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 2835) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-08-22 |