Organization
GREENE OAKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY JAY EYRICH LNHA (ADMINISTRATOR)
(937) 352-2800
Entity
Organization
Contact information
Practice address
164 OFFICE PARK DR, XENIA, OH 45385-1647
(937) 352-2800
(937) 352-2841
Mailing address
164 OFFICE PARK DR, XENIA, OH 45385-1647
(937) 352-2800
(937) 352-2841
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
4589
OH
314000000X
Skilled Nursing Facility
Primary
3392
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0524552
—
OH
Enumeration date
12/20/2005
Last updated
04/28/2008
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