115 Elmwood Circle Operating Company, LLC
NPI #1861504961 in West Carrollton, Ohio
Provider Information
- NPI Number
- 1861504961
- Entity Type
- Organization
- Organization Name
- 115 Elmwood Circle Operating Company, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 115 ELMWOOD CIR
- City
- West Carrollton
- State
- Ohio
- ZIP Code
- 45449-2428
- Phone
- (937) 866-3814
Authorized Official
- Name
- MR. KEVIN P BRESLIN
- Title
- EXECUTIVE VICE PRESIDENT - CFO
- Phone
- (201) 242-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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