Organization
LIBERTY RETIREMENT COMMUNITY OF MIDDLETOWN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BLACK-KUREK (PRESIDENT)
(937) 296-1550
Entity
Organization
Contact information
Practice address
4400 VANNEST AVE, MIDDLETOWN, OH 45042-2770
(513) 422-5600
Mailing address
7445 LIBERTY WOODS LN, DAYTON, OH 45459-3911
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1820N
OH
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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