| NPI | 1760419915 |
|---|---|
| Doing Business As | DANRIDGE'S BURGUNDI MANOR |
| Entity Type | Organization |
| Authorized Contact | PAUL B. BERGSTEN CEO 937-825-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 2232N) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: OH 2232NH) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2016-07-14 |