Organization
FAIRBORN ALF OPERATIONS LLC
Active
Other names
Fairborn Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT MILLER (MANAGING PARTNER)
(614) 425-4218
Entity
Organization
Contact information
Practice address
2270 PARK HILLS DR, FAIRBORN, OH 45324-3993
(937) 754-9820
Mailing address
PO BOX 42, SPRINGFIELD, OH 45501-0042
(614) 425-4218
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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