Organization
LIBERTY NURSING CENTER OF BEAVERCREEK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MARIE BLACK-KUREK (PRESIDENT)
(937) 296-1550
Entity
Organization
Contact information
Practice address
3854 PARK OVERLOOKE DRIVE, BEAVERCREEK, OH 45431
(937) 296-1550
(937) 296-1540
Mailing address
7445 LIBERTY WOODS LN, DAYTON, OH 45459-3911
(937) 296-1550
(937) 296-1540
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
APPLIED FOR
OH
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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