| NPI | 1356396360 |
|---|---|
| Doing Business As | COLLEGE PARK HEALTHCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | BOYD P GENTRY President And CEO 937-964-8974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-060-1984) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: GA 1-060-1634) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2011-07-25 |