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NPI Code Detail

MEDICARE: BRETHREN RETIREMENT COMMUNITY

MEDICARE: BRETHREN RETIREMENT COMMUNITY
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 Facility0543ROH

Other Identifiers

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

General Provider Information

NPI Number : 1316947054
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRETHREN RETIREMENT COMMUNITY
Provider Business Mailing Address
First Line : 750 CHESTNUT ST
Second Line :
City : GREENVILLE
State : OH
Zip : 45331-1312
Country : US
Telephone Number : 937-547-8096
Fax Number :
Provider Business Practice Location Address
First Line : 750 CHESTNUT ST
Second Line :
City : GREENVILLE
State : OH
Zip : 45331-1312
Country : US
Telephone Number : 937-547-8096
Fax Number :
Authorized Official
Title or Position : PRESIDENT & CEO
Name : MR. JOHN L WARNER
Credential :
Telephone Number : 937-547-7605
Provider Enumeration Date : 07/22/2005
Last Update Date : 01/14/2008

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Directions to “BRETHREN RETIREMENT COMMUNITY ” Practice Location

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