| NPI | 1083656383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ANN ELLIOTT Billing Manager 937-276-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 4063) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2011-12-22 |