TRADITIONS AT XENIA NPI 1578868386

NPI Information

TRADITIONS AT XENIA is an assisted living facility in Xenia, OH. The provider is 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. TRADITIONS AT XENIA NPI is 1578868386. The provider is registered as an organization entity type.
The provider Is Doing Business As National Church Residences Legacy Village.

The provider's business location address is:

695 WYCLIFFE DR
XENIA, OH
ZIP 45385
Phone: (937) 372-0359
Fax: (937) 372-0037

The provider's authorized official is Susan Dimickele .
The authorized official title is President and has the following contact phone number (614) 251-4151.

The CLIA number assigned to this NPI record is 36D2082059 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2011 and was last updated on 2/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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