Organization
DAYTON SENIOR CARE LLC
Active
Parent organization
DAYTON SENIOR CARE LLC
Other names
Friendship Village
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAYTON SENIOR CARE LLC
Authorized official
CHRISTIN J ROSE (CHAIRMAN)
(423) 584-6755
Entity
Organization
Contact information
Practice address
5790 DENLINGER RD, DAYTON, OH 45426-1838
(937) 837-5581
(937) 854-8203
Mailing address
5790 DENLINGER RD, DAYTON, OH 45426-1838
(937) 837-5581
(937) 854-8203
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1578
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000501860
ANTHEM INSURANCE
OH
05
—
2686820
—
OH
Enumeration date
03/05/2007
Last updated
03/28/2019
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