| NPI | 1205823770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA SMITH A/R Director 937-277-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 2378N) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: OH 2378R) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2011-11-28 |