Organization
CHS - CLERMONT NCC, INC.
Active
Other names
Clermont Nursing Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SPEELMAN (PRESIDENT)
(330) 204-1040
Entity
Organization
Contact information
Practice address
934 STATE ROUTE 28, MILFORD, OH 45150-1912
(513) 831-1770
(513) 831-5184
Mailing address
782 W ORANGE RD, DELAWARE, OH 43015-8922
(330) 204-1040
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1307N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2515568
—
OH
Enumeration date
12/01/2005
Last updated
06/12/2014
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