NPI 1003815762
1957 N. Lakeman Avenue Operating Company, LLC
Practice location
- Address
- 1957 N Lakeman Dr, Bellbrook, OH 45305-1212
- Phone
- (937) 848-7800
- Fax
- (937) 848-5683
Authorised official
- Name
- Androsky Alberto Lugo
- Title
- Executive Vice Pres.
- Phone
- (201) 242-4006
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1003815762
- Entity type
- Organization
- NPI issued
- 15 Jul 2005
- Record last updated
- 15 Nov 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.