| NPI | 1568584928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA JACOBS Therapy Mgr 937-829-9056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH OTA 02070) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2009-07-27 |