Organization
THI OF OHIO AT OAK GROVE LLC
Active
Other names
Oak Grove Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BOX (EVP)
(410) 773-1000
Entity
Organization
Contact information
Practice address
620 E WATER ST, DESHLER, OH 43516-1327
(419) 278-6921
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
6291
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2349300
—
OH
Enumeration date
07/01/2006
Last updated
08/22/2020
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