Organization
SHELBY COUNTY OHIO
Active
Parent organization
SHELBY COUNTY
Other names
Fair Haven Shelby County Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHELBY COUNTY
Authorized official
ANITA S. MILLER LNHA (EXECUTIVE DIRECTOR)
(937) 492-6900
Entity
Organization
Contact information
Practice address
2901 FAIR RD, SIDNEY, OH 45365-9534
(937) 492-6900
Mailing address
2901 FAIR RD, SIDNEY, OH 45365-9534
(937) 492-6900
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0270111
—
OH
Enumeration date
01/04/2007
Last updated
04/19/2012
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