Organization
LIBERTY NURSING CENTER OF XENIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BLACK-KUREK (PRESIDENT)
(937) 296-1550
Entity
Organization
Contact information
Practice address
126 WILSON DR, XENIA, OH 45385-1848
(937) 376-2121
(937) 296-1540
Mailing address
7445 LIBERTY WOODS LN, DAYTON, OH 45459-3911
(937) 376-2121
(937) 376-1457
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
6013
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2244879
—
OH
Enumeration date
07/01/2006
Last updated
07/23/2008
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