| NPI | 1780676205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HEERMANS Administrator 937-268-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 1723-NH) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2008-02-25 |