Organization
THE INN AT NORTHWOOD VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY WILLIAMS (EXECUTIVE DIRECTOR)
(234) 801-4041
Entity
Organization
Contact information
Practice address
5799 N WOOSTER AVENUE EXT NW, DOVER, OH 44622-6400
(234) 801-4041
Mailing address
5799 N WOOSTER AVENUE EXT NW, DOVER, OH 44622-6400
(234) 801-4041
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2661R
OH
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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