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Organization
ECHOING HILLS VILLAGE, INC.
Active
Organization
ECHOING HILLS VILLAGE, INC.
Active
Other names
Echoing Lake - Renouard Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R. SWANSON (EXECUTIVE VICE PRESIDENT)
(740) 327-2311
Entity
Organization
Contact information
Practice address
235 W MAIN ST, SOUTH AMHERST, OH 44001-2925
(440) 986-3085
(440) 986-2013
Mailing address
36272 COUNTY ROAD 79, WARSAW, OH 43844-9770
(740) 327-2311
(740) 327-6371
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
4710629
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0902778
—
OH
01
—
9441
OHIO DEPT OF HEATH NO.
OH
Enumeration date
12/18/2006
Last updated
02/19/2015
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