Organization Name: | PRAM/MIDDLETOWN TE, LLC |
NPI Number: | 1013213974 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLENE KAY HIMES (EXECUTIVE DIRECTOR) |
Mailing Address: | 3851 Towne Blvd Middletown |
State: | OH US |
Postal Code: | 450055595 |
Phone Number: | 5134249999 |
Fax Number: | 5134249988 |
NPI Enumeration Date: | 02/09/2011 |
NPI Last Update Date: | 02/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 2287R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |