| NPI | 1649288085 |
|---|---|
| Other Name | SUB PROVIDER REHAB |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY D. SNIDER Vice President Finance 937-440-7853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: OH 1036) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |