NPI | 1396256764 |
---|---|
Doing Business As | FAIRLAWN REHAB & NURSING CENTER |
Entity Type | Organization |
Authorized Contact | PAUL BERGSTEN Managing Member 937-825-6622 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2017-10-12 |
Last Update Date | 2017-10-12 |