Organization
ALS BOWLING GREEN OPERATING, INC
Active
Other names
Heritage Corner
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN CASEY (PARTNER)
(740) 415-1138
Entity
Organization
Contact information
Practice address
1069 KLOTZ RD, BOWLING GREEN, OH 43402-4820
(419) 353-3759
(419) 728-0100
Mailing address
125 PUTNAM ST STE 110, MARIETTA, OH 45750-2952
(740) 415-1138
(201) 661-2846
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069712
—
OH
01
—
2247R
RCF LICNESE
OH
Enumeration date
04/17/2024
Last updated
11/07/2024
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