Organization
STILLWATER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUE L CURTIS (DIRECTOR)
(937) 890-0646
Entity
Organization
Contact information
Practice address
8100 N MAIN ST, DAYTON, OH 45415-1702
(937) 890-0646
(937) 890-9579
Mailing address
8100 N MAIN ST, DAYTON, OH 45415-1702
(937) 890-0646
(937) 890-9579
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
MRDD25992
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2381462
—
OH
Enumeration date
02/16/2007
Last updated
10/20/2009
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