| NPI | 1255328662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH HUFF Administrator 937-278-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 1923N) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2011-11-28 |