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 |