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Organization

LOCUST RIDGE NURSING HOME INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA A MEEKER (BOARD OF DIRECTOR)
(513) 797-5144
Entity
Organization

Contact information

Practice address
12745 ELM CORNER RD, WILLIAMSBURG, OH 45176-9621
(937) 444-2920
(937) 444-1009
Mailing address
12745 ELM CORNER RD, WILLIAMSBURG, OH 45176-9621
(937) 444-2920
(937) 444-1009

Taxonomy

Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
0771N
OH
313M00000X
Nursing Facility/Intermediate Care Facility
0771N
OH
314000000X
Skilled Nursing Facility
0771N
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0071952
OH
Enumeration date
10/10/2006
Last updated
09/11/2025
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