| NPI | 1962895698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA STARR WILSON Lpn 513-655-7275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 157760) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |