| NPI | 1285754994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY A THOMAS Director Of Nursing 937-484-1619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: OH 034599) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2017-10-30 |