Organization
WILLIAMS COUNTY OFFICE OF AUDITOR
Active
Other names
Williams County Hillside Country Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF WANGSNESS (EXECUTIVE DIRECTOR)
(419) 636-4508
Entity
Organization
Contact information
Practice address
9876 COUNTY ROAD 16, BRYAN, OH 43506-9781
(419) 636-4508
(419) 636-1269
Mailing address
9876 COUNTY ROAD 16, BRYAN, OH 43506-9781
(419) 636-4508
(419) 636-1269
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
314000000X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0258073
—
OH
01
—
36-6149
MEDICARE SNF
OH
Enumeration date
06/17/2006
Last updated
01/28/2014
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