Organization
LIBERTY VILLAS OF LIMA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE T CARPENTER CPA (VICE PRESIDENT)
(937) 296-1550
Entity
Organization
Contact information
Practice address
2440 BATON ROUGE, LIMA, OH 45805-5104
(937) 296-1550
Mailing address
4336 W FRANKLIN ST, BELLBROOK, OH 45305-1551
(937) 296-1550
(937) 296-1540
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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