Organization
FOREST GLEN REHABILITATION AND HEALTHCARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN DAUBENMIRE (AUTHORIZED REPRESENTATIVE)
(937) 390-9913
Entity
Organization
Contact information
Practice address
2150 MONTEGO DR, SPRINGFIELD, OH 45503-6464
(937) 390-9913
Mailing address
2150 MONTEGO DR, SPRINGFIELD, OH 45503-6464
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
12/11/2024
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