Organization
HERITAGE SENIOR LIVING OF MARYSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SHARP RN (CEO)
(937) 738-7342
Entity
Organization
Contact information
Practice address
1565 LONDON AVE, MARYSVILLE, OH 43040-6809
(937) 738-7342
(937) 518-7601
Mailing address
1565 LONDON AVE, MARYSVILLE, OH 43040-6809
(937) 738-7342
(937) 518-7601
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0489881
—
OH
Enumeration date
11/15/2022
Last updated
11/15/2022
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