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Organization

REYNOLDSBURG HEALTH REALTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALAN PRICE (AGENT)
(513) 276-7137
Entity
Organization

Contact information

Practice address
166 W HOUCK ST, CENTERBURG, OH 43011-7036
(513) 276-7137
Mailing address
90 HIDDEN RAVINES DR., POWELL, OH 43065
(513) 276-7137

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
1588069991
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588069991
OH
Enumeration date
06/02/2016
Last updated
05/04/2017
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