Organization
CRIDERSVILLE HEALTHCARE CENTER
Active
Other names
Healthcare Ventures of Ohio
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC WAYNE IRELAND LNHA (ADMINISTRATOR)
(419) 645-4468
Entity
Organization
Contact information
Practice address
603 E MAIN ST, CRIDERSVILLE, OH 45806-2454
(419) 645-4468
Mailing address
603 E MAIN ST, CRIDERSVILLE, OH 45806-2454
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5932
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2561393
—
OH
Enumeration date
01/04/2006
Last updated
08/22/2020
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