Organization
CT OHIO BEAVERCREEK, LLC
Active
Other names
Beavercreek Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL A RUBENSTEIN (MANAGER)
(516) 865-1500
Entity
Organization
Contact information
Practice address
3854 PARK OVERLOOK DR, BEAVERCREEK, OH 45431-5801
(937) 429-9655
(937) 306-0329
Mailing address
3854 PARK OVERLOOK DR, BEAVERCREEK, OH 45431-5801
(937) 429-9655
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141189
—
OH
Enumeration date
04/17/2018
Last updated
04/15/2025
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