NPI | 1245217678 |
---|---|
Doing Business As | GREENEWOOD MANOR |
Entity Type | Organization |
Authorized Contact | DENISE R PERCIVAL Nursing Home Administrator 937-562-7550 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2005-12-28 |
Last Update Date | 2011-12-21 |