NPI | 1205900917 |
---|---|
Doing Business As | SPRINGDALE HOME |
Entity Type | Organization |
Authorized Contact | MICHAEL W ALLEN Vice President, Finance & Facilitie 937-436-6885 |
Organization Subpart ? | Yes |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: OH 3112143) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2020-12-23 |