| NPI | 1962492751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH WIEDENMANNOTT Ex Medicare Specialist 440-989-5238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 0556N) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2015-04-07 |