| NPI | 1659758951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DUNSON Administrator 937-252-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 0635N) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |