Organization
SARA'S GARDEN-THE SARA JOY RYCHENER-BURKHOLDER HYPERBARIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW JAMES RYCHENER (CEO/EXECUTIVE DIRECTOR)
(419) 335-7272
Entity
Organization
Contact information
Practice address
620 W LEGGETT ST, WAUSEON, OH 43567-1348
(419) 335-7272
(419) 335-5564
Mailing address
620 W LEGGETT ST, PO BOX 150, WAUSEON, OH 43567-1348
(419) 335-7272
(419) 335-5564
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
02-1518550
OH
Other
Enumeration date
01/29/2007
Last updated
03/12/2018
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