Organization
BLAKELY CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS CHARLES BLAKELY LNHA (ADMINISTRATOR/OWNER)
(419) 257-2421
Entity
Organization
Contact information
Practice address
600 STERLING DR, NORTH BALTIMORE, OH 45872
(419) 257-2421
(419) 257-2515
Mailing address
600 STERLING DR, NORTH BALTIMORE, OH 45872
(419) 257-2421
(419) 257-2515
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1652
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0373653
—
OH
Enumeration date
08/02/2005
Last updated
08/22/2020
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