| NPI | 1528104049 |
|---|---|
| Doing Business As | 10 WILMINGTON PLACE |
| Entity Type | Organization |
| Authorized Contact | ANN V BRODERICK Executive Director 937-253-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OH 4495) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-06-20 |