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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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