Organization
ST LEONARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WINE (DIRECTOR OF ANCILLARY CONTRACTING)
(513) 562-7202
Entity
Organization
Contact information
Practice address
8100 CLYO RD, DAYTON, OH 45458-2720
(937) 433-0480
Mailing address
8100 CLYO RD, DAYTON, OH 45458-2720
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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