South Community

NPI #1679129472 in Moraine, Ohio

Provider Information

NPI Number
1679129472
Entity Type
Organization
Organization Name
South Community
Primary Specialty
Case Management
Enumeration Date
Aug 16, 2019
Last Updated
Aug 16, 2019

Practice Location

Address
3095 KETTERING BLVD
State
Ohio
ZIP Code
45439-1983
Phone
(937) 293-8300

Authorized Official

Name
MRS. VALENCIA LANIER TERRELL, INTERN
Title
STUDENT
Phone
(937) 293-8300

Specialties & Taxonomy Codes

Specialty
Case Management

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