Organization
BLCC, INC
Active
Other names
Caprice Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS D. NORDQUIST (PRESIDENT)
(330) 726-6047
Entity
Organization
Contact information
Practice address
9184 MARKET ST, NORTH LIMA, OH 44452-9558
(330) 965-9200
(330) 965-9547
Mailing address
9184 MARKET ST, NORTH LIMA, OH 44452-9558
(330) 965-9200
(330) 965-9547
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1675N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1675N
NURSING HOME LICENSE #
OH
05
—
2442860
—
OH
Enumeration date
06/14/2005
Last updated
08/22/2020
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