Organization
ECHOING HILLS VILLAGE, INC.
Active
Other names
Echoing Ridge Residential Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R SWANSON (EXECUTIVE VICE PRESIDENT)
(740) 327-2311
Entity
Organization
Contact information
Practice address
643 BEVERLY AVE, CANAL FULTON, OH 44614-9384
(330) 854-6621
(330) 854-4326
Mailing address
36272 COUNTY ROAD 79, WARSAW, OH 43844-9770
(740) 327-2311
(740) 327-6371
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
7610231
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0512216
—
OH
01
—
9117
OHIO DEPT. OF HEALTH ID #
OH
Enumeration date
12/11/2006
Last updated
02/19/2015
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