Organization
FILLING MEMORIAL HOME CARDINAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL CECILIA SCHROEDER MBOL (CHIEF FINANCIAL OFFICER)
(419) 592-6451
Entity
Organization
Contact information
Practice address
1211 CARDINAL DRIVE, BRYAN, OH 43506
(419) 636-2369
(419) 636-2869
Mailing address
N 160 SR 108, NAPOLEON, OH 43545-9362
(419) 592-6451
(419) 599-5178
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
24806
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2361457
—
OH
01
—
9144
ODH
OH
Enumeration date
01/08/2007
Last updated
08/22/2020
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