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NPI Code Detail

MEDICARE: DAYTON SENIOR CARE LLC

MEDICARE: DAYTON SENIOR CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility1578OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000501860OTHEROHANTHEM INSURANCE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932238854
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAYTON SENIOR CARE LLC
Provider Business Mailing Address
First Line : 5790 DENLINGER RD
Second Line :
City : DAYTON
State : OH
Zip : 45426-1838
Country : US
Telephone Number : 937-837-5581
Fax Number : 937-854-8203
Provider Business Practice Location Address
First Line : 5790 DENLINGER RD
Second Line :
City : DAYTON
State : OH
Zip : 45426-1838
Country : US
Telephone Number : 937-837-5581
Fax Number : 937-854-8203
Authorized Official
Title or Position : CHAIRMAN
Name : CHRISTIN J ROSE
Credential :
Telephone Number : 423-584-6755
Provider Enumeration Date : 03/05/2007
Last Update Date : 03/28/2019

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Directions to “DAYTON SENIOR CARE LLC ” Practice Location

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