Organization
ECHOING HILLS VILLAGE, INC.
Active
Other names
Echoing Lake Starbuck Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R SWANSON (EXECUTIVE VICE PRESIDENT)
(740) 327-2311
Entity
Organization
Contact information
Practice address
45870 BUTTERNUT RIDGE RD, OBERLIN, OH 44074-9715
(440) 774-1235
(440) 774-6500
Mailing address
36272 COUNTY ROAD 79, WARSAW, OH 43844-9770
(740) 327-2311
(740) 327-6371
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
4710558
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0860046
—
OH
01
—
9404
OHIO DEPT OF HEALTH NO.
OH
Enumeration date
12/14/2006
Last updated
02/19/2015
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