Organization
BOWERSTON HILLS HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL B BERGSTEN LNHA (OWNER CEO)
(937) 825-6622
Entity
Organization
Contact information
Practice address
9076 CUMBERLAND RD SW, BOWERSTON, OH 44695-9640
(740) 269-4000
Mailing address
2968 JERICHO PL, DELAWARE, OH 43015-3175
(937) 825-6622
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0457N
OH
Other
Enumeration date
05/02/2013
Last updated
06/14/2013
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