- Enrollment id
- O20150417000612
- Enrollment state
- OH
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1720478472
- Multiple npi flag
- N
- Ccn
- 366157
- Associate id
- 5092033308
- Organization name
- DAYTON HEALTH & REHAB CENTER LLC
- Doing business as name
- CARILLON HEALTH & REHAB CENTER
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- DUNBAR HEALTH & REHAB CENTER
- Affiliation entity name
- SABER HEALTHCARE GROUP
- Affiliation entity id
- 461
- Address line 1
- 320 ALBANY ST
- City
- DAYTON
- State
- OH
- Zip code
- 454173402