Organization
OTTERBEIN NEW ALBANY, LLC
Active
Parent organization
OTTERBEIN HOME
Organization subpart
Yes
Provider details
NPI number
Legal business name
OTTERBEIN HOME
Authorized official
JAMES C GREEN CPA (TREASURER & CFO)
(513) 933-5418
Entity
Organization
Contact information
Practice address
6690 LIBERATION WAY, NEW ALBANY, OH 43054-2532
(614) 400-5596
Mailing address
580 N STATE ROUTE 741, LEBANON, OH 45036-8839
(513) 518-1501
(513) 932-1054
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2674N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110260
—
OH
Enumeration date
07/02/2014
Last updated
05/18/2015
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