Organization
BROOKVILLE ENTERPRISES, INC.
Active
Other names
Brookhaven Nursing and Rehabilitation Center - Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE MCKINNISS (ADMINISTRATOR)
(937) 833-2133
Entity
Organization
Contact information
Practice address
1 COUNTRY LN, BROOKVILLE, OH 45309-9269
(937) 833-2133
Mailing address
1 COUNTRY LN, BROOKVILLE, OH 45309-9269
(937) 833-2133
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
36D0693391
OH
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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