| NPI | 1043207038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA SMITH Corporate Ar Director 937-277-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 5964) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 5964) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2012-03-13 |