Organization
LEGACY KETTERING OPERATING COMPANY, LLC
Active
Other names
Legacy Kettering
Organization subpart
No
Provider details
NPI number
Authorized official
JIM TAYLOR (CEO)
(440) 590-0969
Entity
Organization
Contact information
Practice address
3313 WILMINGTON PIKE, KETTERING, OH 45429-4023
(937) 298-8084
(937) 298-0013
Mailing address
12380 PLAZA DR, PARMA, OH 44130-1043
(216) 898-8399
(216) 898-8455
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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