| NPI | 1851387047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA CLASEN Controller 937-439-7159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 1887) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2020-08-22 |