Masonic Senior Services of Ohio Corp.

NPI #1497085773 in Fairborn, Ohio

Provider Information

NPI Number: 1497085773
Entity Type: Organization
Organization Name: Masonic Senior Services of Ohio Corp.
Subpart: Yes (part of a larger organization)
Parent Organization: THE OHIO MASONIC HOME
Primary Specialty: In Home Supportive Care
Enumeration Date: Jan 8, 2010
Last Updated: Aug 9, 2010

Practice Location

Address: 7594 DAYTON SPRINGFIELD RD
City: Fairborn
State: Ohio
ZIP Code: 45324-1902
Phone: (937) 863-0109

Authorized Official

Name: MS. MARION LEEMAN
Title: PRESIDENT
Phone: (937) 325-1531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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