NPI | 1346374949 |
---|---|
Doing Business As | EAGLEWOOD VILLAGE CARE CENTER |
Entity Type | Organization |
Authorized Contact | JOSEPH V GULLING Vice President, Agent For Woodland 937-399-7195 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 5012) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2011-07-01 |