Organization
OAK CREEK TERRACE, INC.
Active
Other names
Oak Creek Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J FRIEDMANN (VICE PRESIDENT)
(937) 439-1454
Entity
Organization
Contact information
Practice address
2316 SPRINGMILL RD, KETTERING, OH 45440-2504
(937) 439-1454
Mailing address
2316 SPRINGMILL RD, KETTERING, OH 45440-2504
(937) 439-1454
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1868
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2055743
—
OH
Enumeration date
09/29/2005
Last updated
08/22/2020
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