Organization
GREENE COUNTY
Active
Other names
GREENEWOOD MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE R PERCIVAL LNHA (NURSING HOME ADMINISTRATOR)
(937) 562-7550
Entity
Organization
Contact information
Practice address
711 DAYTON XENIA RD, XENIA, OH 45385-2607
(937) 562-7550
(937) 562-7593
Mailing address
711 DAYTON XENIA RD, XENIA, OH 45385-2607
(937) 562-7550
(937) 562-7593
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0342025
—
OH
Enumeration date
12/28/2005
Last updated
12/21/2011
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