| NPI | 1407885536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA BLACK-KUREK President 937-296-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: OH 6400) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2008-10-31 |