Organization
NORTHAMPTON MEADOWS
Active
Organization
NORTHAMPTON MEADOWS
Active
Parent organization
WAYSIDE FARM SNF
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAYSIDE FARM SNF
Authorized official
REBECCA POOL RN (ADMINISTRATOR)
(330) 923-7828
Entity
Organization
Contact information
Practice address
4557 QUICK RD, PENINSULA, OH 44264-9794
(330) 923-7828
Mailing address
4572 STATE RD, PENINSULA, OH 44264-9799
(330) 929-1767
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1116AGH
OH
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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