Organization
DEFIANCE HEALTHCARE AND REHABILITATION CENTER LLC
Active
Other names
SKLD Defiance, Defiance Healthcare and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
JASON DIPASQUA (COO)
(330) 720-0406
Entity
Organization
Contact information
Practice address
395 HARDING ST, DEFIANCE, OH 43512-1315
(419) 784-1450
Mailing address
555 ANTHONY WAYNE TRL, WATERVILLE, OH 43566-1516
(330) 720-0406
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1711N
LICENSURE
OH
Enumeration date
11/17/2021
Last updated
11/17/2021
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