| NPI | 1982695508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES STOLTZ Secretary / Treasurer 513-530-1808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 1428N) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: OH 5612) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2025-05-01 |