Organization
KETTERING AFFILIATED HEALTH SERVICES
Active
Parent organization
KETTERING AFFILIATED HEALTH SERVICES
Other names
Sycamore Glen Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
KETTERING AFFILIATED HEALTH SERVICES
Authorized official
TIMOTHY KO (KETTERING HEALTH CFO)
(937) 558-3223
Entity
Organization
Contact information
Practice address
2175 LEITER ROAD, SYCAMORE GLEN HEALTH CENTER, MIAMISBURG, OH 45342
(937) 384-4300
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3660
(937) 914-7054
(937) 522-7685
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
6000
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2244842
—
OH
Enumeration date
08/28/2006
Last updated
08/06/2024
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