MEDICARE: THE JEWISH FEDERATION OF GREATER DAYTON

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
1	314000000X	Skilled Nursing Facility	3228	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235120361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE JEWISH FEDERATION OF GREATER DAYTON

Provider Business Mailing Address
First Line	:	4911 COVENANT HOUSE DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45426-2007
Country	:	US
Telephone Number	:	937-837-2651
Fax Number	:	937-837-5831

Provider Business Practice Location Address
First Line	:	4911 COVENANT HOUSE DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45426-2007
Country	:	US
Telephone Number	:	937-837-2651
Fax Number	:	937-837-5831

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. MARYANN BERNSTEIN
Credential	:
Telephone Number	:	937-837-2651

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	06/18/2008

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Directions to “THE JEWISH FEDERATION OF GREATER DAYTON ” Practice Location

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