Organization
OHIO LIVING SARAH MOORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT B STILLMAN (CHIEF FINANCIAL OFFICER)
(614) 888-7800
Entity
Organization
Contact information
Practice address
26 N UNION ST, DELAWARE, OH 43015-1922
(740) 362-9641
(740) 362-7039
Mailing address
9200 WORTHINGTON RD STE 300, WESTERVILLE, OH 43082-7240
(614) 888-7800
(614) 888-6864
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2101808
—
OH
Enumeration date
04/17/2006
Last updated
08/26/2022
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