Organization
THE CARLYLE HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE MARIE NELSON (VICE PRESIDENT)
(937) 434-8820
Entity
Organization
Contact information
Practice address
3490 FAR HILLS AVE, KETTERING, OH 45429-2500
(937) 293-3490
(937) 293-3491
Mailing address
1371 W RAHN RD, DAYTON, OH 45459-1431
(937) 434-8820
(937) 434-8850
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
2634R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2634R
OHIO DEPARTMENT OF HEALTH
OH
Enumeration date
06/13/2013
Last updated
06/13/2013
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