Organization
ADDISON LEASING CO., LLC
Active
Other names
Addison Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES STOLTZ (CFO)
(513) 530-1613
Entity
Organization
Contact information
Practice address
8055 ADDISON RD, MASURY, OH 44438-1204
(330) 448-2547
Mailing address
10123 ALLIANCE RD, BLUE ASH, OH 45242-4714
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
12/01/2022
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