| NPI | 1285610352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY JAY EYRICH Administrator 937-352-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 3392) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: OH 4589) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2008-04-28 |