Organization
THI OF OHIO AT VILLAGE CENTER, LLC
Active
Other names
Village Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEE EDSON (PRESIDENT)
(419) 468-1090
Entity
Organization
Contact information
Practice address
925 WAGNER AVE, GALION, OH 44833-1535
(419) 468-1090
(419) 468-5101
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2411858
—
OH
Enumeration date
10/07/2006
Last updated
11/21/2007
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