| NPI | 1306285408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SMITA V PATEL Partner 937-424-3245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-06-21 |