Organization
WILLARD HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BERGSTEN (CEO)
(937) 825-6622
Entity
Organization
Contact information
Practice address
370 E HOWARD ST, WILLARD, OH 44890-1656
(937) 825-6622
Mailing address
544 ENTERPRISE DR, LEWIS CENTER, OH 43035-9704
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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