Organization
THE OHIO MASONIC HOME
Active
Other names
Western Reserve Masonic Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT BUCHANAN (CFO)
(937) 525-4975
Entity
Organization
Contact information
Practice address
4931 NETTLETON RD, MEDINA, OH 44256-3232
(330) 721-3000
(330) 721-3279
Mailing address
PO BOX 120, SPRINGFIELD, OH 45501-0120
(937) 525-3048
(937) 525-8302
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
6114
OH
314000000X
Skilled Nursing Facility
Primary
6113
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2294093
—
OH
Enumeration date
07/22/2006
Last updated
02/03/2015
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