| NPI | 1265473003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M BLACK-KUREK President 937-296-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: OH 520042) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |