Organization
1957 N. LAKEMAN AVENUE OPERATING COMPANY, LLC
Active
Other names
Bellbrook Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANDROSKY ALBERTO LUGO ESQ. (EXECUTIVE VICE PRES.)
(201) 242-4006
Entity
Organization
Contact information
Practice address
1957 N LAKEMAN DR, BELLBROOK, OH 45305-1212
(937) 848-7800
(937) 848-5683
Mailing address
1957 N LAKEMAN DR, BELLBROOK, OH 45305-1212
(937) 848-7800
(937) 848-5683
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2347642
—
OH
Enumeration date
07/15/2005
Last updated
11/15/2012
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