- Enrollment id
- O20030825000003
- Enrollment state
- OH
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1811084064
- Multiple npi flag
- N
- Ccn
- 366279
- Associate id
- 1850202680
- Organization name
- ROSARY CARE CENTER
- Doing business as name
- ROSARY CARE CENTER
- Incorporation date
- 2000-02-18
- Incorporation state
- OH
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Nursing home provider name
- ROSARY CARE CENTER
- Address line 1
- 6832 CONVENT BLVD
- City
- SYLVANIA
- State
- OH
- Zip code
- 435604805