| NPI | 1992791669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BUTLER Owner 740-289-4209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 2389) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-08-22 |