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Organization

ASSUMPTION VILLAGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY LOU CLATTERBUCK (DIRECTOR)
(330) 549-0740
Entity
Organization

Contact information

Practice address
9800 MARKET ST, NORTH LIMA, OH 44452
(330) 549-0740
(330) 549-0701
Mailing address
9800 MARKET ST, NORTH LIMA, OH 44452
(330) 549-0740
(330) 549-0701

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5085
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0214397
OH
Enumeration date
10/06/2006
Last updated
08/16/2010
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