Organization
BLANCHARD VALLEY CONTINUING CARE SERVICES
Active
Parent organization
BLANCHARD VALLEY HEALTH SYSTEM
Other names
Independence House
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLANCHARD VALLEY HEALTH SYSTEM
Authorized official
MRS. BRIDGETT MARIE MUNDY LNHA (ADMINISTRATOR)
(419) 435-8505
Entity
Organization
Contact information
Practice address
1000 INDEPENDENCE AVE, FOSTORIA, OH 44830-9614
(419) 435-8505
Mailing address
1000 INDEPENDENCE AVE, FOSTORIA, OH 44830-9614
(419) 435-8505
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
4444
OH
314000000X
Skilled Nursing Facility
Primary
1951N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2789791
—
OH
Enumeration date
01/11/2008
Last updated
09/15/2016
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