Premier Estates 520, LLC
NPI #1952813289 in Middletown, Ohio
Provider Information
- NPI Number
- 1952813289
- Entity Type
- Organization
- Organization Name
- Premier Estates 520, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 26, 2017
- Last Updated
- Feb 1, 2019
Practice Location
- Address
- 4400 VANNEST AVE
- City
- Middletown
- State
- Ohio
- ZIP Code
- 45042-2770
- Phone
- (513) 422-5600
Authorized Official
- Name
- CASSIDY BANCROFT
- Title
- CHIEF ACCOUNTING OFFICER
- Phone
- (941) 758-4745
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
| Skilled Nursing Facility |
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