| NPI | 1528249174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M BLACK-KUREK President 937-296-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 1664) |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2008-01-22 |