| NPI | 1073948220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL B BERGSTEN Owner CEO 937-825-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 1549N) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |