| NPI | 1679974034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORNA MILLBOURN President 937-638-9468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH COA14504NP) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: OH COA14504NP) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2015-01-08 |