Organization
LINCOLN PARK ASSOCIATES II LTD PTR
Active
Other names
Lincoln Park Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK GOODWIN (OWNER)
(513) 588-4748
Entity
Organization
Contact information
Practice address
694 ISAAC PRUGH WAY, KETTERING, OH 45429-3481
(937) 297-4300
(937) 297-4199
Mailing address
694 ISAAC PRUGH WAY, KETTERING, OH 45429-3481
(937) 297-4300
(937) 297-4199
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
1915R
OH
314000000X
Skilled Nursing Facility
Primary
1915N
OH
Other
Enumeration date
07/08/2005
Last updated
12/22/2014
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