Organization
WOOD COUNTY AUDITOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CECIL LNHA (ADMINISTRATOR)
(419) 353-8411
Entity
Organization
Contact information
Practice address
1965 E GYPSY LANE RD, BOWLING GREEN, OH 43402-9564
(419) 353-8411
(419) 353-2394
Mailing address
1965 E GYPSY LANE RD, BOWLING GREEN, OH 43402-9396
(419) 353-8411
(419) 353-2394
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0172950
—
OH
Enumeration date
07/19/2005
Last updated
12/08/2011
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