Organization
OTTERBEIN LEBANON RETIREMENT LIVING COMMUNITY
Active
Parent organization
OTTERBEIN HOMES
Organization subpart
Yes
Provider details
NPI number
Legal business name
OTTERBEIN HOMES
Authorized official
CHRIS GREEN (CHIEF FINANCIAL OFFICER)
(513) 933-5400
Entity
Organization
Contact information
Practice address
580 N STATE ROUTE 741, LEBANON, OH 45036-8839
(513) 933-5400
(513) 932-1054
Mailing address
585 N STATE ROUTE 741, LEBANON, OH 45036-8840
(513) 933-5444
(513) 932-1054
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6636331
—
OH
Enumeration date
06/10/2011
Last updated
06/14/2011
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