Organization
OCTOBER ENTERPRISES, INC.
Active
Other names
Greenbriar Senior Living Campus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HOCHWALT (VICE PRESIDENT)
(937) 293-7703
Entity
Organization
Contact information
Practice address
501 W LEXINGTON RD, EATON, OH 45320-9274
(937) 456-9535
Mailing address
501 W LEXINGTON RD, EATON, OH 45320-9274
(937) 293-7703
(937) 299-9287
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4449
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0860091
—
OH
Enumeration date
10/06/2006
Last updated
11/07/2016
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