Organization
UNITED CHURCH HOMES INC
Active
Other names
Trinity Community at Fairborn
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD D DIBLE (VICE PRESIDENT OF FINANCIAL SERVICE)
(740) 223-2022
Entity
Organization
Contact information
Practice address
789 STONEYBROOK TRL, FAIRBORN, OH 45324-6021
(937) 878-0262
Mailing address
PO BOX 1806, MARION, OH 43301-1806
(740) 382-4885
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1523R
—
OH
Enumeration date
12/22/2020
Last updated
01/14/2021
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