Organization
PROMEDICA CONTINUING CARE SERVICES CORP
Active
Other names
Goerlich Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLADEEN ROBERTS PHD (PRESIDENT)
(419) 824-5660
Entity
Organization
Contact information
Practice address
5320 HARROUN RD, SYLVANIA, OH 43560-2114
(419) 824-1250
Mailing address
5320 HARROUN RD, SYLVANIA, OH 43560-2114
(419) 824-1250
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2600395
—
OH
Enumeration date
04/11/2006
Last updated
08/22/2020
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