5440 Charlesgate Road Operating Company, LLC
NPI #1881706976 in Huber Heights, Ohio
Provider Information
- NPI Number
- 1881706976
- Entity Type
- Organization
- Organization Name
- 5440 Charlesgate Road Operating Company, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5440 CHARLESGATE RD
- City
- Huber Heights
- State
- Ohio
- ZIP Code
- 45424-1049
- Phone
- (937) 236-6707
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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