Organization
CARRIAGE INN OF TROTWOOD, INC
Active
Other names
Shiloh Springs Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN BERNSEN (PRESIDENT)
(937) 277-0505
Entity
Organization
Contact information
Practice address
3500 SHILOH SPRINGS RD, TROTWOOD, OH 45426-2260
(937) 854-1180
Mailing address
5020 PHILADELPHIA DR, DAYTON, OH 45415-3653
(937) 277-0505
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1970N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2773146
—
OH
Enumeration date
11/14/2007
Last updated
12/17/2007
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