| NPI | 1962528422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SHACKLEFORD Administrator 440-937-6201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 1195N) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |