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Organization
ANNE GRADY COPORATION
Active
Organization
ANNE GRADY COPORATION
Active
Other names
Hill Avenue ICF
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER FORTENER (ASSOC EXECUTIVE DIRECTOR)
(419) 866-6500
Entity
Organization
Contact information
Practice address
4154 HILL AVENUE, TOLEDO, OH 43615-2306
(419) 866-6500
(419) 866-7457
Mailing address
1525 EBER RD, HOLLAND, OH 43528-9616
(419) 866-6500
(419) 866-7457
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/15/2015
Last updated
09/10/2020
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