Organization
VOLUNTEERS OF AMERICA CARE FACILITIES
Active
Other names
Autumnwood Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY GAVIN (ASSISTANT SECRETARY/TREASURER)
(952) 941-0305
Entity
Organization
Contact information
Practice address
670 E STATE ROUTE 18, TIFFIN, OH 44883-1856
(419) 447-7151
(417) 447-9701
Mailing address
7485 OFFICE RIDGE CIR, EDEN PRAIRIE, MN 55344-3690
(952) 941-0305
(952) 941-0428
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1632N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000321508
ANTHEM BLUE CROSS
OH
05
—
0413725
—
OH
Enumeration date
07/21/2006
Last updated
02/05/2021
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