| NPI | 1598700445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M BLACK-KUREK President 937-296-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 4312) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-08-22 |