| NPI | 1114932852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE D. DUCKER Business Office Manager 937-278-0761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 4241) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2009-06-16 |