Grace Brethren Village Inc.
NPI #1033100698 in Englewood, Ohio
Provider Information
- NPI Number
- 1033100698
- Entity Type
- Organization
- Organization Name
- Grace Brethren Village Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 2, 2005
- Last Updated
- Apr 27, 2012
Practice Location
Authorized Official
- Name
- MR. MIKE JACKIE MONTGOMERY, LNHA
- Title
- ASSISTANT ADMINISTRATOR
- Phone
- (937) 836-4011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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