| NPI | 1992400279 |
|---|---|
| Doing Business As | LEGACY BEAVERCREEK |
| Entity Type | Organization |
| Authorized Contact | JIM TAYLOR CEO 440-590-0969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-05-24 |