NPI | 1962880740 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK J SCHLATER Executive Director 937-376-3996 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 2910069) |
Enumeration Date | 2015-05-12 |
Last Update Date | 2015-05-12 |