Organization
CT OHIO DAYTON-CENTERVILLE LLC
Active
Other names
Centerville Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL A MOERMAN (MANAGER)
(937) 433-3441
Entity
Organization
Contact information
Practice address
7300 MCEWEN RD, DAYTON, OH 45459-3903
(937) 433-3441
(937) 433-3441
Mailing address
7300 MCEWEN RD, DAYTON, OH 45459-3903
(937) 433-3441
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141227
—
OH
Enumeration date
04/17/2018
Last updated
04/15/2025
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