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Organization

BRETHREN RETIREMENT COMMUNITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN L WARNER (PRESIDENT & CEO)
(937) 547-7605
Entity
Organization

Contact information

Practice address
750 CHESTNUT ST, GREENVILLE, OH 45331-1312
(937) 547-8096
Mailing address
750 CHESTNUT ST, GREENVILLE, OH 45331-1312
(937) 547-8096

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0543R
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0967137
OH
Enumeration date
07/22/2005
Last updated
01/14/2008
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