| NPI | 1992336895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MARIE NELSON Vice President Of Finance 937-434-8820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |