Organization
APOSTOLIC CHRISTIAN COUNTRY VILLA
Active
Other names
Country Inn
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA NUEST RN (ADMINISTRATOR)
(419) 399-2345
Entity
Organization
Contact information
Practice address
12651 ROAD 82, PAULDING, OH 45879-9545
(419) 399-2345
(419) 399-2341
Mailing address
12651 ROAD 82, PAULDING, OH 45879-9545
(419) 399-2345
(419) 399-2341
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2398R
OH
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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