Organization
THE OAKS OF WEST KETTERING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANA SMITH (AR CO-ORDINATOR)
(937) 277-0505
Entity
Organization
Contact information
Practice address
1150 W DOROTHY LN, KETTERING, OH 45409-1305
(937) 293-1152
Mailing address
1150 W DOROTHY LN, KETTERING, OH 45409-1305
(937) 293-1152
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
OH00541
OH
314000000X
Skilled Nursing Facility
Primary
OH00541
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2549442
—
OH
Enumeration date
09/20/2006
Last updated
10/05/2007
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