Organization
FOREST GLEN REHABILITATION AND HEALTHCARE CENTER LLC
Active
Organization
FOREST GLEN REHABILITATION AND HEALTHCARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN DAUBENMIRE (AUTHORIZED OFFICIAL)
(937) 390-9913
Entity
Organization
Contact information
Practice address
2150 MONTEGO DR, SPRINGFIELD, OH 45503-6464
(937) 390-9913
Mailing address
2150 MONTEGO DR, SPRINGFIELD, OH 45503-6464
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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