Organization
NIC 14 DAYTON LEASING LLC
Active
Other names
Laurelwood Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BOETHEL (VICE-PRESIDENT)
(469) 304-5033
Entity
Organization
Contact information
Practice address
3797 SUMMIT GLEN RD, DAYTON, OH 45449-3661
(937) 412-2727
Mailing address
2901 DALLAS PKWY, 380, PLANO, TX 75093-5980
(469) 304-5033
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2032R
OH
Other
Enumeration date
02/04/2014
Last updated
03/26/2014
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