Organization
WILLOW KNOLL RETIREMENT COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LENKENSDOFER (CFO)
(765) 759-0230
Entity
Organization
Contact information
Practice address
4400 VANNEST AVE, MIDDLETOWN, OH 45042-2770
(513) 422-5600
(513) 422-6532
Mailing address
4400 VANNEST AVE, MIDDLETOWN, OH 45042-2770
(513) 422-5600
(513) 422-6532
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2533708
—
OH
Enumeration date
02/21/2007
Last updated
08/07/2008
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