Organization
BLANCHARD VALLEY CONTINUING CARE SERVICES
Active
Parent organization
BLANCHARD VALLEY HEALTH SYSTEM
Other names
Independence House
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLANCHARD VALLEY HEALTH SYSTEM
Authorized official
MRS. BRIDGETT MARIE MUNDY LNHA (ADMINISTRATOR)
(419) 435-8505
Entity
Organization
Contact information
Practice address
1000 INDEPENDENCE AVE, FOSTORIA, OH 44830-9614
(419) 435-8505
Mailing address
1000 INDEPENDENCE AVE, FOSTORIA, OH 44830-9614
(419) 435-8505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1951N
OH
235Z00000X
Speech-Language Pathologist
1951N
OH
261QP2000X
Physical Therapy Clinic/Center
Primary
1951N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2789791
—
OH
Enumeration date
10/13/2016
Last updated
10/13/2016
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