Organization
CHARLES E. GARRETT JR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES EDWARD GARRETT JR. (STNA)
(937) 520-0395
Entity
Organization
Contact information
Practice address
2351 WIENBURG DR, DAYTON, OH 45439-7944
(937) 520-0395
Mailing address
2351 WIENBURG DR, DAYTON, OH 45439-7944
(937) 520-0395
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
400598840307
OH
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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