Organization
SARAH LEASURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JANE LEASURE (LPN)
(937) 243-2640
Entity
Organization
Contact information
Practice address
14056 MAPLE RIDGE ROAD, MILFORD CENTER, OH 43045
(937) 243-2640
Mailing address
14056 MAPLE RIDGE ROAD, MILFORD CENTER, OH 43045
(937) 243-2640
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
PN125866
OH
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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