Organization
LIBERTY NURSING CENTER OF ENGLEWOOD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BLACK-KUREK (PRESIDENT)
(937) 296-1550
Entity
Organization
Contact information
Practice address
425 LAURICELLA CT, CLAYTON, OH 45322-0340
(937) 836-5143
(937) 836-1799
Mailing address
7445 LIBERTY WOODS LN, DAYTON, OH 45459-3911
(937) 296-1550
(937) 296-1540
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
5842
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2170163
—
OH
Enumeration date
07/01/2006
Last updated
12/09/2008
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