| Name | MICHAEL K. PROVENZA |
|---|---|
| Street | 25000 COUNTRY CLUB BLVD. - #255 |
| City | NORTH OLMSTED |
| Zip | OH 44070 |
| Status | Active |
| Effective date | 2011-05-18T00:00:00+02:00 |
| Company | LAGRANGE NURSING & REHABILITATION CENTER, INC. |
|---|---|
| Entity Number | 1742277 |
| Company | CHS-MT. HEALTHY, INC. |
|---|---|
| Entity Number | 1340878 |