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Organization
WEBER HEALTH CARE CENTER, INC.
Active
Organization
WEBER HEALTH CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADELBERT H WEBER (ADMINISTRATOR)
(440) 647-2088
Entity
Organization
Contact information
Practice address
214 E HERRICK AVE, WELLINGTON, OH 44090-1317
(440) 647-2088
Mailing address
PO BOX 386, WELLINGTON, OH 44090-0386
(440) 647-2088
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450319
MEDICADE PROVIDER NUMBER
OH
01
—
14958
MR/DD LICENSE NO.
OH
01
—
36-G071
MEDICARE PROVIDER NO.
OH
01
—
4710183
ODMR/DD FACILITY NO.
OH
Enumeration date
05/22/2008
Last updated
05/22/2008
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