NPI | 1801387568 |
---|---|
Doing Business As | DBA HAWTHORN GLEN NURSING CENTER |
Entity Type | Organization |
Authorized Contact | DIANE GUMBERT CFO 937-293-7703 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OH 5053) |
Enumeration Date | 2018-05-29 |
Last Update Date | 2018-05-29 |