Organization
OTTERBEIN LEBANON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA C HAWKINS (AVP FINANCE/CONTROLLER)
(513) 933-5401
Entity
Organization
Contact information
Practice address
585 N STATE ROUTE 741, LEBANON, OH 45036-8840
(513) 932-2020
(513) 932-4722
Mailing address
585 N STATE ROUTE 741, LEBANON, OH 45036-8840
(513) 932-2020
(513) 932-4722
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
314000000X
Skilled Nursing Facility
Primary
4454
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4488210001
DMERC
—
05
—
6636331
—
OH
Enumeration date
08/22/2005
Last updated
03/25/2023
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