Organization
SOUTHBROOK HEALTH CARE CENTER, INC.
Active
Other names
SOUTHBROOK CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD SOSNA (OWNER)
(513) 561-4105
Entity
Organization
Contact information
Practice address
2299 S YELLOW SPRINGS ST, SPRINGFIELD, OH 45506-3221
(937) 322-3436
(937) 322-2470
Mailing address
2299 SOUTH YELLOW SPRINGS STREET, SPRINGFIELD, OH 45506
(937) 322-3436
(937) 322-2470
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
6219
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2319566
—
OH
Enumeration date
10/14/2005
Last updated
08/14/2020
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