Organization
DEACONESS LONG TERM CARE OF OHIO, INC.
Active
Other names
Marshfield Place
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA BROOKS (CFO)
(513) 487-3600
Entity
Organization
Contact information
Practice address
800 S WHITE OAK RD, MARSHFIELD, MO 65706-2231
(417) 859-3701
(417) 859-2397
Mailing address
440 LAFAYETTE AVE, SUITE 400, CINCINNATI, OH 45220-1022
(513) 487-3600
(513) 487-3653
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
031404
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031404
ST LICENSE #
MO
05
—
268194206
—
MO
Enumeration date
09/08/2005
Last updated
09/02/2008
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