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Organization
FILLING MEMORIAL HOME CARDINAL
Active
Organization
FILLING MEMORIAL HOME CARDINAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL CECILIA SCHROEDER MBOL (CHIEF FINANCIAL OFFICER)
(419) 592-6451
Entity
Organization
Contact information
Practice address
1211 CARDINAL DRIVE, BRYAN, OH 43506
(419) 636-2369
(419) 636-2869
Mailing address
N 160 SR 108, NAPOLEON, OH 43545-9362
(419) 592-6451
(419) 599-5178
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
24806
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2361457
—
OH
01
—
9144
ODH
OH
Enumeration date
01/08/2007
Last updated
08/22/2020
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