Organization
NURSING SERVICE LPN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE GERDEMAN (RN/SUPERVISOR)
(419) 494-8634
Entity
Organization
Contact information
Practice address
15815 GORRILL RD, BOWLING GREEN, OH 43402-9787
(419) 601-5457
Mailing address
15815 GORRILL RD, BOWLING GREEN, OH 43402-9787
(419) 601-5457
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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