Organization
FILLING MEMORIAL HOME EGLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL CECILIA SCHROEDER MBOL (CHIEF FINANCIAL OFFICER)
(419) 592-6451
Entity
Organization
Contact information
Practice address
101 EGLY DRIVE, WEST UNITY, OH 43570-9533
(419) 924-2806
(419) 924-2806
Mailing address
N 160 SB 108, NAPOLEON, OH 43545-9363
(419) 592-6451
(419) 599-5178
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
24432
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361439
—
OH
01
—
9222
ODH
—
Enumeration date
01/08/2007
Last updated
08/22/2020
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