Organization
MARKET STREET ASSISTED LIVING
Active
Other names
the inn at glenellen
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE J REESE (OWNER)
(330) 726-5790
Entity
Organization
Contact information
Practice address
9661 MARKET ST, NORTH LIMA, OH 44452-8564
(330) 549-9661
Mailing address
9661 MARKET ST, NORTH LIMA, OH 44452-8564
(330) 549-9661
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2254R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085821
—
OH
Enumeration date
07/30/2013
Last updated
10/20/2015
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