Organization
ANTWERP MANOR ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN CASEY (PARTNER)
(740) 350-9095
Entity
Organization
Contact information
Practice address
204 ARCHER DR, ANTWERP, OH 45813-8499
(419) 258-1500
Mailing address
120 W MAIN ST STE 200, VAN WERT, OH 45891-1761
(419) 238-0715
(419) 238-4814
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2449
ODH
OH
Enumeration date
02/06/2013
Last updated
11/19/2025
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