| NPI | 1740560473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VONNA NICOLE HINTON Stna 937-268-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric (Licence: OH 379396330301) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |