| NPI | 1124211156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEREIDA C SANTIAGO Wound And Skin Nurse 937-268-6511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: PR 015284) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |