| NPI | 1174510986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES V. SNYDER Executive Director 937-845-8219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 4696) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2008-04-14 |