Legacy Miamisburg Operating Company, LLC
Skilled Nursing Facility in Miamisburg, OH. Organization (NPI-2).
NPI number1982309019
StatusActive
Last updated in NPPESMay 24, 2023
Details
- NPI
- 1982309019
- Entity type
- Organization (NPI-2)
- Legal business name
- Legacy Miamisburg Operating Company, LLC
- Organization subpart
- No
- Enumeration date
- Mar 30, 2023
- Certification date
- May 24, 2023
- Last updated
- May 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Legacy Miamisburg (Doing Business As)
Practice location
450 Oak Ridge BlvdMiamisburg, OH 45342-3673
Phone 937-866-8885 · Fax 937-866-2036
Mailing address
12380 Plaza DrParma, OH 44130-1043
Phone 216-898-8399 · Fax 216-898-8455
Authorized official
Jim Taylor
Ceo
4405900969
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