| NPI | 1073611356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA SMITH Ar Co Ordinator 937-277-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH OH00541) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH OH00541) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-10-05 |