Blc Dayton Gc Llc

NPI 1063754711 - Assisted Living Facility - 310400000X

NPI Details
NPI 1063754711
Enumeration Date 03/20/2013
Last Updated 03/20/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JOHN P JOHN
Position CO-PRESIDENT/COO
Phone (937) 427-0060
Fax
Practice Location
280 WALDEN WAY
BEAVERCREEK TOWNSHIP OH, 45440-4461, US
Phone (937) 427-0060
Fax
Business Location
280 WALDEN WAY
BEAVERCREEK TOWNSHIP OH, 45440-4461, US
Phone (937) 427-0060
Fax
Toxanomy
Taxonomy Code 310400000X
License State Ohio
License Number 2078R
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According to our database, Blc Dayton Gc Llc NPI is 1063754711, taxonomy code is 310400000X and license number is 2078R, license state is located at Ohio. Blc Dayton Gc Llc physically located at 280 Walden Way, Beavercreek Township OH, 45440-4461. NPI Number 1033115704 has the healthcare provider type.

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1063754711 NPI number is provided on an as is basis without warranty of any kind. 1063754711 is maintained by the National Plan & Provider Enumeration System. The contents of Blc Dayton Gc Llc are for informational purposes only.