| NPI | 1427036508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ANTHONY YAP Program Director 937-328-8647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 365700) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2020-08-22 |