Organization
ST LEONARD
Active
Parent organization
ST LEONARD
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LEONARD
Authorized official
ALISA IFFLAND (VP OF FINANCE)
(567) 455-0414
Entity
Organization
Contact information
Practice address
8100 CLYO RD, CENTERVILLE, OH 45458-2720
(937) 433-0480
Mailing address
5942 RENAISSANCE PL STE A, TOLEDO, OH 43623-4716
(567) 455-0414
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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