Organization
HORN RETIREMENT VILLAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SPRENGER (EXECUTIVE VP AND CIO)
(440) 989-5234
Entity
Organization
Contact information
Practice address
230 N MARKET ST, WOOSTER, OH 44691-3512
(330) 262-2951
(330) 264-1254
Mailing address
230 N MARKET ST, WOOSTER, OH 44691-3512
(330) 262-2951
(330) 264-1254
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5548
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000156456
ANTHEM
OH
01
—
000000357113
ANTHEM PT
OH
01
—
000000357115
ANTHEM OT
OH
01
—
000000357116
ANTHEM ST
OH
05
—
2265285
—
OH
Enumeration date
10/26/2005
Last updated
04/20/2008
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