Chs - Clermont Ncc, INC.
Skilled Nursing Facility in Milford, OH. Organization (NPI-2).
NPI number1528042736
StatusActive
Last updated in NPPESJun 12, 2014
Details
- NPI
- 1528042736
- Entity type
- Organization (NPI-2)
- Legal business name
- Chs - Clermont Ncc, INC.
- Organization subpart
- No
- Enumeration date
- Dec 1, 2005
- Last updated
- Jun 12, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 1307N | OH | Yes |
Other names
- Clermont Nursing Care Center (Doing Business As)
Practice location
934 State Route 28Milford, OH 45150-1912
Phone 513-831-1770 · Fax 513-831-5184
Mailing address
782 W Orange RdDelaware, OH 43015-8922
Phone 330-204-1040
Authorized official
Robert Speelman
President
3302041040
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