Organization
DEFIANCE AL, LLC
Active
Other names
Trustwell Living at Kingsbury Place
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA POOR (REGIONAL DIRECTOR)
(937) 638-3408
Entity
Organization
Contact information
Practice address
245 W ROSEWOOD AVE, DEFIANCE, OH 43512-3488
(419) 785-8041
Mailing address
245 W ROSEWOOD AVE, DEFIANCE, OH 43512-3488
(419) 785-8041
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111R
DEPARTMENT OF HEALTH
OH
Enumeration date
10/07/2025
Last updated
07/27/2026
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