Organization
KETTERING AFFILIATED HEALTH SERVICES
Active
Parent organization
KETTERING AFFILIATED HEALTH SERVICES
Other names
Sycamore Glen Retirement Community
Organization subpart
Yes
Provider details
NPI number
Legal business name
KETTERING AFFILIATED HEALTH SERVICES
Authorized official
TIMOTHY KO (KETTERING HEALTH CFO)
(937) 558-3223
Entity
Organization
Contact information
Practice address
317 SYCAMORE GLEN DR, MIAMISBURG, OH 45342-5720
(937) 866-2984
(937) 866-7488
Mailing address
317 SYCAMORE GLEN DR, MIAMISBURG, OH 45342-5720
(937) 866-2984
(937) 866-7488
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1876R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2676886
—
OH
Enumeration date
11/11/2013
Last updated
08/02/2024
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