Organization
HEARTLAND-BEAVERCREEK OF DAYTON OH, LLC
Active
Other names
ProMedica Skilled Nursing and Rehabilitation (Beavercreek)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5743
Entity
Organization
Contact information
Practice address
1974 N FAIRFIELD RD, BEAVERCREEK, OH 45432-2772
(937) 429-1106
(937) 429-0902
Mailing address
333 N SUMMIT ST, ATTN: MARTIN ALLEN, TOLEDO, OH 43604-2615
(419) 252-5743
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1653N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2791975
—
OH
Enumeration date
06/17/2006
Last updated
06/22/2023
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