Organization
MARY SCOTT NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUE D. DUCKER (BUSINESS OFFICE MANAGER)
(937) 278-0761
Entity
Organization
Contact information
Practice address
3109 CAMPUS DRIVE, DAYTON, OH 45406
(937) 278-0761
(937) 278-6482
Mailing address
3109 CAMPUS DRIVE, DAYTON, OH 45406
(937) 278-0761
(937) 278-6482
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4241
OH
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120210
—
OH
Enumeration date
07/30/2006
Last updated
06/16/2009
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