Organization
HERITAGE VILLAGE OF CLYDE OH OPCO LLC
Active
Other names
Majestic Care of Clyde
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL PRUITT (CHIEF EXECUTIVE OFFICER)
(317) 288-4029
Entity
Organization
Contact information
Practice address
700 HELEN ST, CLYDE, OH 43410-2051
(419) 547-9595
Mailing address
700 HELEN ST, CLYDE, OH 43410-2051
(419) 547-9595
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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