Organization
WYANDOT MEMORIAL HOSPITAL
Active
Other names
Wyandot Memorial Home Health and Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
TY R SHAULL (PRESIDENT AND CEO)
(419) 294-4991
Entity
Organization
Contact information
Practice address
105 HOUPT DR, UPPER SANDUSKY, OH 43351-9201
(419) 294-5787
(419) 294-4721
Mailing address
105 HOUPT DR, UPPER SANDUSKY, OH 43351-9201
(419) 294-5787
(419) 294-4721
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0002-HSP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0820133
—
OH
Enumeration date
11/18/2005
Last updated
10/26/2022
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