| NPI | 1053799783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J SCHLATER Executive Director 937-376-3996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 3113375) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-15 |