Organization
HEALTHCARE VENTURES OF OHIO
Active
Other names
Autumn Court
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC IRELAND (ADMINISTRATOR)
(419) 523-4370
Entity
Organization
Contact information
Practice address
1925 E 4TH ST, OTTAWA, OH 45875-1540
(419) 523-4370
(419) 523-3591
Mailing address
1925 E 4TH ST, OTTAWA, OH 45875-1540
(419) 523-4370
(419) 523-3591
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1543N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2561357
—
OH
Enumeration date
12/28/2005
Last updated
08/22/2020
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