| NPI | 1952671505 |
|---|---|
| Doing Business As | PROMEDICA SKILLED NURSING AND REHABILITATION (LACEY) |
| Entity Type | Organization |
| Authorized Contact | MARTIN D ALLEN Director 419-252-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2022-02-11 |