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Organization
ST LEONARD
Active
Organization
ST LEONARD
Active
Parent organization
ST LEONARD
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LEONARD
Authorized official
ALISA IFFLAND (VP OF FINANCE)
(567) 455-0414
Entity
Organization
Contact information
Practice address
8100 CLYO RD, CENTERVILLE, OH 45458-2720
(937) 433-0480
Mailing address
5942 RENAISSANCE PL STE A, TOLEDO, OH 43623-4716
(567) 455-0414
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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